Provider Demographics
NPI:1952564825
Name:ROSSI, MELISSA M (RPA)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:M
Last Name:ROSSI
Suffix:
Gender:F
Credentials:RPA
Other - Prefix:MRS
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:NIMPHIUS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3 VAIL LN
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-3431
Mailing Address - Country:US
Mailing Address - Phone:917-301-0562
Mailing Address - Fax:
Practice Address - Street 1:3 VAIL LN
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-3431
Practice Address - Country:US
Practice Address - Phone:917-301-0562
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011884363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant