Provider Demographics
NPI:1629658810
Name:RANSOM, MELANIE ACOSTA (APN)
Entity Type:Individual
Prefix:DR
First Name:MELANIE
Middle Name:ACOSTA
Last Name:RANSOM
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:C
Other - Last Name:ACOSTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1020 KINGS HIGHWAY NORTH
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08034
Mailing Address - Country:US
Mailing Address - Phone:856-602-4000
Mailing Address - Fax:856-842-5109
Practice Address - Street 1:103 OLD MARLTON PIKE
Practice Address - Street 2:SUITE 211
Practice Address - City:MEDFORD
Practice Address - State:NJ
Practice Address - Zip Code:08055-8772
Practice Address - Country:US
Practice Address - Phone:856-602-4000
Practice Address - Fax:856-848-1487
Is Sole Proprietor?:No
Enumeration Date:2021-04-12
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01211300363LF0000X
NJ26NR20502400163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse