MELISSA KOTOWICZ
NPI 1417675463
Nurse Practitioner - Family in Manalapan, NJ
About Melissa Kotowicz NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELISSA KOTOWICZ (NPI 1417675463) is an individual family provider in Manalapan, New Jersey, licensed in New York (349387) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Melissa Kotowicz is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Melissa Kotowicz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hazlet, NJ 07730
- Reassigned Medicare billing, New Jersey enrollment
- 142 clinicians in this Medicare group
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 160 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07726 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Melissa Kotowicz's NPI number?
The NPI number for Melissa Kotowicz is 1417675463. It was assigned to this individual provider in the NPPES registry on August 16, 2022.
Where is Melissa Kotowicz located?
Melissa Kotowicz practices at 21 Terence Dr, Manalapan, NJ 07726. The listed phone number is (718) 344-3719.
What is Melissa Kotowicz's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Melissa Kotowicz enrolled in Medicare?
Yes. Melissa Kotowicz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Melissa Kotowicz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Kotowicz reassigns Medicare benefits to 2 organizations: Immediate Care Medical Walk-In Of Hazlet, PA (Hazlet, NJ) and Urgent Care Physicians Of New Jersey, LLC (Red Bank, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Melissa Kotowicz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Melissa Kotowicz was last updated on August 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Melissa Kotowicz · NPI 1417675463
Family physician in Manalapan, New Jersey. Individual provider, active in the CMS NPPES registry since August 16, 2022.
## Identity
- **NPI:** 1417675463 (Entity type: Individual)
- **Enumerated:** August 16, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 349387 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 21 TERENCE DR, Manalapan, NJ 07726-3437
- **Phone:** (718) 344-3719
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Immediate Care Medical Walk-In Of Hazlet, PA (NPI 1245595313, Hazlet, NJ); Urgent Care Physicians Of New Jersey, LLC (NPI 1447622402, Red Bank, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** August 16, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1417675463) · Data from the CMS NPPES public registry.