Melinda Earon Viscusi, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

N0058182 Issued in NY

Practice address

19 Edward J Lempka Dr
Florida, NY 10921-1036

Phone

(845) 651-3668

Fax

(845) 651-1697

NPI assigned

Oct 5, 2005

Last updated

May 8, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bruce D. Fischer DPM LLC

  • Primary Podiatric Medicine Podiatrist
  • Warwick, NY
  • NPI 1215149067
  NPD (past)
• Bruce D. Fischer DPM LLC

  • Podiatrist
  • Warwick, NY
  • NPI 1679891444
  NPD (past)

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241740800000",
    "number": "1154318939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 EDWARD J LEMPKA DR",
            "city": "FLORIDA",
            "state": "NY",
            "postal_code": "109211036",
            "telephone_number": "845-651-3668",
            "fax_number": "845-651-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 EDWARD J LEMPKA DR",
            "city": "FLORIDA",
            "state": "NY",
            "postal_code": "109211036",
            "telephone_number": "845-651-3668",
            "fax_number": "845-651-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISCUSI",
        "first_name": "MELINDA",
        "middle_name": "EARON",
        "name_prefix": "Mrs.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-05",
        "last_updated": "2009-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N0058182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02544012",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monika Tyminski, RN
• Amanda Elizabeth Undersinger
• Beverly Valle-Farrow, OSC
• Elisabeth Jillianne Vanhage, LPN
• Leah M Vereschagin, MSPT
• Robert Alan Werner, DMD
• Meaghan Williams
• Kathleen Wilson, OTR
• Ashley Marie Wood, PSYD
• Tony F. Xhudo, M.S., H.N., B.C.

• Podiatrist in Florida, NY
• Providers in Florida, NY by specialty
• Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.