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

Melissa Tavares Entrup, PA-C

Individual provider Physician Assistant · NPI 1053864249

Melissa Tavares Entrup, PA-C is a Physician Assistant in Saddle River, New Jersey. Qualified in 2016, 10 years ago. Practices with Mpv New Jersey MD Services PC, a 145-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
10
Licensed in
NJ
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

82 E Allendale Rd Ste 7A&7B
Saddle River, NJ 07458-3057
Phone: (201) 236-8282
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00404200 (NJ)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1053864249
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 25, 2016
Last updated in NPPESNovember 9, 2022
Certification dateNovember 8, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Mpv New Jersey Md Services Pc — 145 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare