Active NPIIndividual providerSole proprietor

Melissa Rusli, DO

General Practice in Clifton, New Jersey

NPI Number1558554253
Practice location
155 Hazel St, Clifton, NJ 07011-3423
Fax
973-253-5397
Last updated
August 1, 2024

Melissa Rusli is a General Practice based in Clifton, NJ. Melissa Rusli practices in Clifton, NJ and has the professional credentials of DO. The NPI Number for Melissa Rusli is 1558554253 and holds a License No. 25MB09133500 (NJ). The current practice location address for Melissa Rusli is 155 Hazel St, Clifton, NJ 07011-3423 and can be reached out via phone at 973-253-5255 and via fax at 973-253-5397.

Provider Profile Details

NPI Number
1558554253
Provider Name
Melissa Rusli
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
155 Hazel St, Clifton, NJ 07011-3423
Phone Number
973-253-5255
Fax Number
973-253-5397
Primary Taxonomy
General Practice · 208D00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 26, 2007
Last Update Date
August 1, 2024
Certification Date
August 1, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
155 Hazel St
Clifton, NJ 07011-3423
Zip
07011-3423
Phone Number
973-253-5255
Fax Number
973-253-5397
Clifton, NJ 07011Get directions →

Provider Business Mailing Address Details

Address
120 E Main St
Suite #109
Ramsey, NJ 07446-1925
City
Ramsey
State
NJ
Zip
07446-1925
Phone Number
201-855-7700
Fax Number
201-855-7701

License Information

License Number (1)
25MB09133500
License State (1)
NJ
Taxonomy (1)
Physical Medicine & Rehabilitation · 208100000X
License Number (2)
25MB09133500
License State (2)
NJ
Taxonomy (2)
General Practice · 208D00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Melissa Rusli, DO?

The NPI number of Melissa Rusli, DO is 1558554253. It was assigned on August 26, 2007 and is currently active in the NPPES registry.

What is the specialty of Melissa Rusli, DO?

Melissa Rusli, DO is registered under the primary taxonomy General Practice (code 208D00000X), licensed in NJ under license number 25MB09133500.

Where does Melissa Rusli, DO practice?

The practice location is 155 Hazel St, Clifton, NJ 07011-3423. The office can be reached at 973-253-5255 (phone) or 973-253-5397 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558554253 directly on the NPPES registry website.

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