Individual provider Active NPI

Melissa Santos, NP

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1134712938
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F349266 Issued in NY
Practice address
910 E 172ND St
Bronx, NY 10460-5802
Phone
(347) 767-2200
Fax
(718) 328-7493
NPI assigned
Feb 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 721981 NY
Family Nurse Practitioner 363LF0000X F349266 NY Primary

Addresses

Primary practice location

910 E 172ND St
Bronx, NY 10460-5802

Mailing address

117 W 124TH St
New York, NY 10027-4920
Phone (212) 949-4385

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230724001353 NY Practitioner - Nurse Practitioner 1850751769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Suffolk Primary Health LLCGroup PAC ID 9436420510, 46 clinicians

Practice addresses (Care Compare)

170 Old Country Rd
Riverhead, NY 11901-2198
Phone (631) 208-4460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
721981NYMDRegistered Nurse
F349266NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Children'S Aid Society CurrentSince May 7, 2024 Accepting new patients
Planned Parenthood Hudson Peconic Inc. CurrentSince Jun 27, 2023 Accepting new patients
Planned Parenthood HP Past Accepting new patients
The Children'S Aid Society PastSince Jul 26, 2016 Accepting new patients

Locations

8390 Champions Gate Blvd
Ste 220
Champions Gate, FL 33896
Phone (407) 479-2015

910 E 172nd St
Fl 3
Bronx, NY 10460
Phone (347) 767-2200

570 Taxter Rd
Ste 250
Elmsford, NY 10523

117 W 124th St
New York, NY 10027
Phone (212) 949-4800

14 W 118th St
New York, NY 10026
Phone (212) 369-8339

465 W 167th St
New York, NY 10032
Phone (212) 543-3943

70 Maple Ave
Smithtown, NY 11787
Phone (631) 240-1111

180 Sunrise Hwy
West Islip, NY 11795
Phone (631) 893-0150

Networks

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

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1134712938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W 124TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274920",
            "telephone_number": "212-949-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 E 172ND ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104605802",
            "telephone_number": "347-767-2200",
            "fax_number": "718-328-7493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "MELISSA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-12",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "721981",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F349266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.