Provider Demographics
NPI:1669064903
Name:MELGAREJO, NATALIA VERONICA (PHD)
Entity type:Individual
Prefix:DR
First Name:NATALIA
Middle Name:VERONICA
Last Name:MELGAREJO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 BECKER DR
Mailing Address - Street 2:
Mailing Address - City:PARLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08859-1804
Mailing Address - Country:US
Mailing Address - Phone:732-921-4784
Mailing Address - Fax:
Practice Address - Street 1:13 BECKER DR
Practice Address - Street 2:
Practice Address - City:PARLIN
Practice Address - State:NJ
Practice Address - Zip Code:08859-1804
Practice Address - Country:US
Practice Address - Phone:732-921-4784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-08
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ18336Medicaid