Provider Demographics
NPI:1073314332
Name:ROMAN-CASILLAS, MELINDA
Entity type:Individual
Prefix:MRS
First Name:MELINDA
Middle Name:
Last Name:ROMAN-CASILLAS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 ADDISON PL APT D
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07012-3383
Mailing Address - Country:US
Mailing Address - Phone:973-634-4037
Mailing Address - Fax:
Practice Address - Street 1:27 ADDISON PL APT D
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07012-3383
Practice Address - Country:US
Practice Address - Phone:973-634-4037
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-22
Last Update Date:2025-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula