NPIMap

Organization Active NPI

Howard B Melnick MD PC

Doing business as Melnick, Moffitt & Mesaros ENT Associates

  • Otolaryngology Physician
  • Lebanon, PA
National Provider Identifier
1164448767
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
HOWARD B MELNICK MD PC
Doing business as
Melnick, Moffitt & Mesaros ENT Associates
Practice address
927 Russell Dr
Lebanon, PA 17042-7487
Phone
(717) 274-9775
Fax
(717) 274-9894
NPI assigned
Jul 15, 2006
Last updated
Oct 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Mrs. Susan G Walewski
Title
Office Manager
Phone
(717) 274-9775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

927 Russell Dr
Lebanon, PA 17042-7487

Mailing address

927 Russell Dr
Lebanon, PA 17042-7487
Phone (717) 274-9775

Other names 1

  • Melnick, Moffitt & Mesaros ENT Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050421000832 PA Part B Supplier - Clinic/Group Practice 4486692258 Receives reassigned benefits from 6 practitioners
Practice locations: Lebanon, PA

National Provider Directory

National Provider Directory

Locations

786 Lititz Pike
Lititz, PA 17543
Phone (717) 274-9775

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1164448767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 RUSSELL DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427487",
            "telephone_number": "717-274-9775",
            "fax_number": "717-274-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 RUSSELL DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427487",
            "telephone_number": "717-274-9775",
            "fax_number": "717-274-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD B MELNICK MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "WALEWSKI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "717-274-9775",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Melnick, Moffitt & Mesaros ENT Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lebanon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.