Healthcare Provider Details

I. General information

NPI: 1124957006
Provider Name (Legal Business Name): MELISSA HEMSEY-RIVIELLO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2026
Last Update Date: 05/16/2026
Certification Date: 05/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 ROUTE 34
COLTS NECK NJ
07722-2525
US

IV. Provider business mailing address

4 CHAMBERLAIN CT
MILLSTONE TOWNSHIP NJ
08535-8545
US

V. Phone/Fax

Practice location:
  • Phone: 201-362-2949
  • Fax:
Mailing address:
  • Phone: 201-362-2949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number25MZ00179000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: