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NPI 1760593156 · live from the CMS NPI Registry

Melissa Amsellem, Physician Assistant

Physician Assistant in Teaneck, NJ. National Provider Identifier 1760593156, active.

NPI record

NPI1760593156 Type 1 · individual
StatusActive
Primary specialtyPhysician Assistant 363A00000X
Practice location780 Cedar Ln, Teaneck, NJ 07666
Practice phone201-836-7664
Mailing address615 Mccarthy Dr, New Milford, NJ 07646
EnumeratedAugust 31, 2006
Last updatedJanuary 20, 2026
Sole proprietorNo
Other namesMelissa Amsellem

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant primary363A00000X25MP00163200 (NJ)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.