Individual provider Active NPI

Melvyn S Bleiberg, MD

  • Cardiovascular Disease Physician
  • New Rochelle, NY
National Provider Identifier
1083655633
Registry record updated Jun 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
124829 Issued in NY
Practice address
80 Oxford Rd
New Rochelle, NY 10804-3713
Phone
(914) 576-6783
NPI assigned
Jun 8, 2006
Last updated
Jun 6, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 124829 NY Primary

Addresses

Primary practice location

80 Oxford Rd
New Rochelle, NY 10804-3713

Mailing address

80 Oxford Rd
New Rochelle, NY 10804-3713
Phone (914) 576-6783

Other identifiers 1

IdentifierTypeStateIssuer
00387408MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120221000796 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0840458972 Reassigns benefits to 4 organizations
Practice locations: Yonkers, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Cardiovascular Disease CurrentSince Oct 1, 2017 Accepting new patients
Urban Strategies Brookdale Family Care Center Inc CurrentSince Feb 1, 2013 Accepting new patients
Brookdale Family Care Center, Inc. CurrentSince Nov 4, 2013 Accepting new patients
New York University Cardiovascular Disease CurrentSince Oct 1, 2017 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Nov 4, 2013 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Nov 4, 2013 Accepting new patients
Brookdale Family Care Center, Inc. CurrentSince Nov 4, 2013 Accepting new patients

Locations

1095 Flatbush Ave
Brooklyn, NY 11226
Phone (718) 240-5132

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

1873 Eastern Pkwy
Brooklyn, NY 11233
Phone (718) 240-5133

465 New Lots Ave
Brooklyn, NY 11207
Phone (718) 240-5133

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1083655633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 OXFORD RD",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108043713",
            "telephone_number": "914-576-6783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 OXFORD RD",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108043713",
            "telephone_number": "914-576-6783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLEIBERG",
        "first_name": "MELVYN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "124829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00387408",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

Verify at the official NPI Registry.