Provider Demographics
NPI:1205535234
Name:MAY, MELISSA ANN (NP)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:ANN
Last Name:MAY
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Gender:
Credentials:NP
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Mailing Address - Street 1:1 LETHBRIDGE PLZ STE 20
Mailing Address - Street 2:
Mailing Address - City:MAHWAH
Mailing Address - State:NJ
Mailing Address - Zip Code:07430-2114
Mailing Address - Country:US
Mailing Address - Phone:609-474-0120
Mailing Address - Fax:609-474-0121
Practice Address - Street 1:28 VALLEY RD # 148
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-2709
Practice Address - Country:US
Practice Address - Phone:973-559-4600
Practice Address - Fax:855-998-4358
Is Sole Proprietor?:No
Enumeration Date:2023-02-28
Last Update Date:2025-04-16
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Provider Licenses
StateLicense IDTaxonomies
PASP032502363LF0000X
NJ26NJ01448300363LG0600X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology