Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Melissa Kotowicz

Individual provider Family Nurse Practitioner · NPI 1417675463

Melissa Kotowicz is a Nurse Practitioner in Manalapan, New Jersey. Qualified in 2021, 5 years ago. Practices with Urgent Care Physicians of New Jersey LLC, a 93-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2022
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Practice location Address checks out

21 Terence Dr
Manalapan, NJ 07726-3437
Phone: (718) 344-3719
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 349387 (NY)

Record details

NPI number1417675463
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 16, 2022
Last updated in NPPESAugust 16, 2022
Certification dateAugust 16, 2022
Mailing address21 Terence Dr, Manalapan, NJ 07726-3437

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Urgent Care Physicians Of New Jersey Llc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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