Provider Type Icon

DAVID A MELLUL DPM NPI 1255352209


NPI Information

NPI: 1255352209
Provider Name: DAVID A MELLUL DPM
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
200 KINGS HWY S
CHERRY HILL, NJ
ZIP 08034
Phone: (856) 429-9009
Get Directions

DAVID A MELLUL DPM is a podiatrist in Cherry Hill, NJ. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DAVID A MELLUL DPM NPI is 1255352209. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

200 KINGS HWY S
CHERRY HILL, NJ
ZIP 08034-506
Phone: (856) 429-9009
Fax: (856) 429-8400

The provider's authorized official is David A Mellul .
The authorized official title is Sole Proprietor and has the following contact phone number (856) 429-9009.

The enumeration date for this NPI number is 7/22/2006 and was last updated on 6/2/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatristMD1488NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1X37810MEDICARE UPINNEW JERSEY
24315010001MEDICARE NSCNEW JERSEY
3024716MEDICARE PINNEW JERSEY
4209900401MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.