Provider Demographics
NPI:1386711406
Name:FRANCIS C. DMELLO MD PA
Entity type:Organization
Organization Name:FRANCIS C. DMELLO MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:KANAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BAROT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-693-0700
Mailing Address - Street 1:385 STATE ROUTE 18
Mailing Address - Street 2:WEST FERRIS PLAZA, UNIT K
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-5703
Mailing Address - Country:US
Mailing Address - Phone:732-238-4343
Mailing Address - Fax:
Practice Address - Street 1:385 STATE ROUTE 18
Practice Address - Street 2:WEST FERRIS PLAZA, UNIT K
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-5703
Practice Address - Country:US
Practice Address - Phone:732-238-4343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA35950207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0442402Medicaid
NJF05046Medicare UPIN
NJ0442402Medicaid