Organization Active NPI

Jennifer a. Meller, M.D. PLLC

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1093020034
Registry record updated Aug 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
209750 Issued in NY
Legal business name
JENNIFER A. MELLER, M.D. PLLC
Practice address
1020 Park Ave
Floor 1
New York, NY 10028-0913
Phone
(646) 403-9685
Fax
(212) 772-2877
NPI assigned
Aug 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2010

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

Authorized official

Name
Jennifer A Meller, M.D.
Title
Member
Phone
(646) 403-9685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 209750 NY Primary

Addresses

Primary practice location

1020 Park Ave
Floor 1
New York, NY 10028-0913

Mailing address

1020 Park Ave
Floor 1
New York, NY 10028-0913
Phone (646) 403-9685

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1281744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281744000000",
    "number": "1093020034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 PARK AVE",
            "address_2": "FLOOR 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280913",
            "telephone_number": "646-403-9685",
            "fax_number": "212-772-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 PARK AVE",
            "address_2": "FLOOR 1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280913",
            "telephone_number": "646-403-9685",
            "fax_number": "212-772-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER A. MELLER, M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-14",
        "last_updated": "2010-08-14",
        "status": "A",
        "authorized_official_last_name": "MELLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "646-403-9685",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "209750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2010; 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.