Organization Active NPI

Ilan Melnick MD PA

  • Psychiatry Physician
  • Coral Gables, FL
National Provider Identifier
1053339937
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME94563 Issued in FL
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

Updated by the provider on Jul 16, 2007

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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.