Roman Stefan Melnyk, DDS, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

039554 Issued in NY

Practice address

1 Paris Rd
New Hartford, NY 13413-2350

Phone

(315) 733-2100

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003998923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PARIS RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132350",
            "telephone_number": "315-733-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARIS RD",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132350",
            "telephone_number": "315-733-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELNYK",
        "first_name": "ROMAN",
        "middle_name": "STEFAN",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NY",
            "license": "039554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Mecca, DDS
• Jose Fernando Medina-Robles, DMD
• Jaime Medina, MD
• Andrea M Meier, MSW, LMSW
• Robert Andrew Meier, MD
• Timothy Earl Mercer, PA-C
• Anne Barbara Mercurio-Dunn, LCSW-R
• Margaret Mercurio, LMSW
• Mary E Metott, NP
• Briana Rae Metzler, FNP-BC

• Periodontics in New Hartford, NY
• Providers in New Hartford, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.