Melissa Desmond

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

3981 Oran Gulf Rd
Manlius, NY 13104-8755

Phone

(315) 420-5902

NPI assigned

Jan 29, 2016

Last updated

Jan 29, 2016By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454025600000",
    "number": "1083072557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3981 ORAN GULF RD",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131048755",
            "telephone_number": "315-420-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3981 ORAN GULF RD",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131048755",
            "telephone_number": "315-420-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESMOND",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CVS Albany, LLC (CVS Pharmacy #07617)
• D.G. Baker Mental Health Counseling Services, PLLC
• Stacy Marie Davison, LCSW
• Susan Marie Demas, P.T.
• Department of Medicine MSG (Manlius)
• Desta Anthony Mobile NP Adult Health, PLLC
• Neiha Dhar, MS, LMFT
• Charles Dicosimo III, DMD, MSD
• Geraldine Mary Dicosimo, M.S., R.N., C.S.
• Donald M. Dixon

• Specialist in Manlius, NY
• Providers in Manlius, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.