Healthcare Provider Details

I. General information

NPI: 1083570089
Provider Name (Legal Business Name): MELISSA LYNN GIORDANO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

1 W RIDGEWOOD AVE STE 110
PARAMUS NJ
07652-2361
US

IV. Provider business mailing address

1 W RIDGEWOOD AVE STE 110
PARAMUS NJ
07652-2361
US

V. Phone/Fax

Practice location:
  • Phone: 201-444-9522
  • Fax:
Mailing address:
  • Phone: 201-444-9522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number26NJ15500100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: