Grigsby, Melissa J

Grigsby, Melissa J is an individual health care provider with primary practice located at 150 Bergen St , Newark NJ 07103-2496. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is her primary health care specialty. Grigsby, Melissa J can be contacted via phone (973) 972-0376.

Contact Information

Primary practice address
150 Bergen St Newark NJ 07103-2496
Phone: (973) 972-0376
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 01095238A Indiana
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 01095238A Indiana
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 25MA11944900 New Jersey

Profile Details

NPI number 1588014971
LBN Legal business name Grigsby, Melissa J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2016
Last updated Dec 18th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588014971 NPPES
Indiana Other 1102139741 ANTHEM PTAN
Indiana MEDICAID 300099580 ANTHEM PTAN

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