Healthcare Provider Details

I. General information

NPI: 1306983606
Provider Name (Legal Business Name): MELISSA DAWN ALGIERI NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

242 WASHINGTON AVE
NUTLEY NJ
07110-3934
US

IV. Provider business mailing address

89 S PROSPECT ST
VERONA NJ
07044-1426
US

V. Phone/Fax

Practice location:
  • Phone: 973-667-6676
  • Fax: 973-667-6029
Mailing address:
  • Phone: 973-571-9225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number26N011384700
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: