Active NPI
Ilan Melnick MD PA
- Psychiatry Physician
- Coral Gables, FL
National Provider Identifier
1053339937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME94563
- Legal business name
- ILAN MELNICK MD PA
- Practice address
- 401 Coral Way
208A
Coral Gables, FL 33134-4930 - Phone
- (786) 877-4958
- NPI assigned
- Jul 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ilan Melnick, MD
- Title
- President
- Phone
- (786) 877-4958
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME94563 | FL | Primary |
Addresses
Primary practice location
401 Coral Way
208A
Coral Gables, FL 33134-4930
Mailing address
2475 Brickell Ave
#2204
Miami, FL 33129-2478
Phone (305) 859-9593
National Provider Directory
National Provider DirectoryLocations
401 Coral Way
Ste 208A
Coral Gables, FL 33134
Phone (786) 877-4958
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184544000000",
"number": "1053339937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2475 BRICKELL AVE",
"address_2": "#2204",
"city": "MIAMI",
"state": "FL",
"postal_code": "331292478",
"telephone_number": "305-859-9593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 CORAL WAY",
"address_2": "208A",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331344930",
"telephone_number": "786-877-4958"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ILAN MELNICK MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-18",
"last_updated": "2007-07-16",
"status": "A",
"authorized_official_last_name": "MELNICK",
"authorized_official_first_name": "ILAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-877-4958",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME94563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.