Active NPI
Marc Sanford Melamed, MD
- Critical Care Medicine (Internal Medicine) Physician
- Midland Park, NJ
National Provider Identifier
1033116769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 35050
- Practice address
- 44 Godwin Ave Ste 201
Midland Park, NJ 07432-1959 - Phone
- (201) 689-7755
- Fax
- (201) 689-0387
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35050 | NJ | |
| Pulmonary Disease Physician | 207RP1001X | 35050 | NJ | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 35050 | NJ | Primary |
Addresses
Primary practice location
44 Godwin Ave Ste 201
Midland Park, NJ 07432-1959
Mailing address
44 Godwin Ave
Suite 201
Midland Park, NJ 07432-1969
Phone (201) 689-7755
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1328808 | Medicaid | NJ | |
| 156650 | Other | NJ | ONE HEALTH |
| 2189501 | Other | NJ | AETNA |
| 1K3902 | Other | NJ | HEALTHNET |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35050 | NJ | MD | Pulmonary Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393372800000",
"number": "1033116769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 GODWIN AVE",
"address_2": "SUITE 201",
"city": "MIDLAND PARK",
"state": "NJ",
"postal_code": "074321969",
"telephone_number": "201-689-7755",
"fax_number": "201-689-0521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 GODWIN AVE STE 201",
"city": "MIDLAND PARK",
"state": "NJ",
"postal_code": "074321959",
"telephone_number": "201-689-7755",
"fax_number": "201-689-0387"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELAMED",
"first_name": "MARC",
"middle_name": "SANFORD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2014-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "35050",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NJ",
"license": "35050",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NJ",
"license": "35050",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1328808",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ONE HEALTH",
"identifier": "156650",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2189501",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "1K3902",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Midland Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.