Melvin Lee Haller, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

112942 Issued in NY

Practice address

3074 36TH St
Astoria, NY 11103-4705

Phone

(718) 728-0224

Fax

(718) 728-1626

NPI assigned

Oct 6, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989

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

• Ophthalmology Associates of Queens PC

  • Ophthalmology Physician
  • Astoria, NY
  • NPI 1124214499
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1124015946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3074 36TH ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034705",
            "telephone_number": "718-728-0224",
            "fax_number": "718-728-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3074 36TH ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034705",
            "telephone_number": "718-728-0224",
            "fax_number": "718-728-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLER",
        "first_name": "MELVIN",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-06",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "112942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00242526",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helen Elizabeth Halchuk, RPH
• Meraaj Syed Haleem, MD
• Themis Haliou, RD
• John Bill Halkias, MD
• Chad Benjamin Haller, M.D.
• Tara Halpern, PA
• Alicia Halpin, L.AC.
• Hazem Hamed, PT
• Erum Seema Hamid
• Claire Hamilton

• Ophthalmology Physician in Astoria, NY
• Providers in Astoria, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.