Healthcare Provider Details

I. General information

NPI: 1518899491
Provider Name (Legal Business Name): EMMA CATHERINE MELE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 HADDON AVE
CAMDEN NJ
08103-3101
US

IV. Provider business mailing address

102 HIGHVIEW TER
HACKETTSTOWN NJ
07840-3408
US

V. Phone/Fax

Practice location:
  • Phone: 856-757-3500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number25MP01053200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: