MELANIE DERHAM AGPCNP-BC NPI 1902630528

NPI Information

  • NPI: 1902630528
  • Provider Name: MELANIE DERHAM, AGPCNP-BC
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 247 HURFFVILLE CROSSKEYS RD STE 2-C
    SEWELL, NJ
    ZIP 08080
  • Phone: (856) 262-4750

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NPI Details

Melanie Derham, AGPCNP-BC is an adult health nurse practitioner in Sewell, NJ with 2 years of experience. Melanie Derham, AGPCNP-BC NPI is 1902630528. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduation Year:2024

The provider's business location address is:

247 HURFFVILLE CROSSKEYS RD STE 2-C
SEWELL, NJ
ZIP 08080-014
Phone: (856) 262-4750

The NPI 1902630528 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/27/2024 and was last updated on 9/11/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP2300XNurse PractitionerPrimary Care26NJ15118100NEW JERSEYNo
2363LA2200XNurse PractitionerAdult Health26NJ15118100NEW JERSEYYes
3363LG0600XNurse PractitionerGerontology26NJ15118100NEW JERSEYNo

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: 11/21/2025

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