MELISSA RUSLI D.O.
NPI 1558554253
General Practice in Clifton, NJ

Q: What is Melissa Rusli's NPI number?

The NPI number for Melissa Rusli is 1558554253. It was assigned to this individual provider in the NPPES registry on August 26, 2007.

Q: What is Melissa Rusli's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Rusli was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 26, 2007PECOS Enrolled

155 HAZEL ST, CLIFTON, NJ 07011(973) 253-5255(973) 253-5397 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 1, 2024, Jun 24, 2016 (2 updates tracked since 2016).

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About Melissa Rusli D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA RUSLI D.O. (NPI 1558554253) is an individual general practice provider in Clifton, New Jersey, licensed in New Jersey (25MB09133500) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558554253

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameMELISSA RUSLICredential: D.O.

Location Address155 HAZEL STClifton, NJ 07011-3423

Mailing Address120 E Main St, Suite #109Ramsey, NJ 07446-1925 · (201) 855-7700 · Fax (201) 855-7701

Phone(973) 253-5255

Fax(973) 253-5397

Sole ProprietorYes

Enumeration DateAugust 26, 2007

Last NPPES UpdateAugust 1, 20242 updates tracked since enumeration

NPPES CertifiedAugust 1, 2024

✔ NPI 1558554253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in NJ · 25MB09133500

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 25MB09133500 (NJ)

155 HAZEL ST, Clifton, NJ 07011

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Melissa Rusli D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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