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
- Last updated
- Jul 16, 2007
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Coral Gables, FL
- NPI 1427048115
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.