Melissa Pedraza

Primary specialty

Respiratory/Developmental/Rehabilitative Specialist/TechnologistTaxonomy code 225500000X

License

166354021 Issued in NY

Practice address

389 5TH St
FL. 2
Brooklyn, NY 11215-7438

Phone

(917) 376-3526

NPI assigned

Aug 7, 2012

Last updated

Aug 7, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Melissa Puglisi Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344297600000",
    "number": "1073860243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 5TH ST",
            "address_2": "FL. 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112157438",
            "telephone_number": "917-376-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 5TH ST",
            "address_2": "FL. 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112157438",
            "telephone_number": "917-376-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDRAZA",
        "first_name": "MELISSA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "NY",
            "license": "166354021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "PUGLISI",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pedirite Medical NJ LLC
• Pedirite Medical Oh LLC
• Pedirite Medical PA PLLC
• Alberto Jose Pedraza Torres, MD
• Cristian Javier Pedraza, PA-C
• Lisette Pedreira, M.S.ED.
• Gabriela Pedrero-Davila, PH.D.
• Joseph Francis Pedri, DC
• Pedro Smukler
• Temitayo Pedro, LCSW

• Respiratory/Developmental/Rehabilitative Specialist/Technologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Respiratory/Developmental/Rehabilitative Specialist/Technologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.