Active NPI
Brett C Mellinger, MD
- Urology Physician
- Garden City, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 156186
- Practice address
- 100 Garden City Plaza
Suite 102
Garden City, NY 11530 - Phone
- (516) 873-5353
- Fax
- (516) 873-8850
- NPI assigned
- Apr 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 156186 | NY | Primary |
Addresses
Primary practice location
100 Garden City Plaza
Suite 102
Garden City, NY 11530
Mailing address
532 Broadhollow Road
Suite 142
Melville, NY 11747-4932
Phone (516) 931-0041
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 92.57 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.22
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Valley Lithotripsy Associates, P.C. | Urology | Current | Accepting new patients |
| Integrated Medical Professionals PLLC | Past | Accepting new patients | |
| Resource Anesthesiology Associates,PC | Past | Accepting new patients |
Locations
9010 Strada Stell Ct
Ste 103
Naples, FL 34109
Phone (800) 669-7744
480 Hicksville Rd
Bethpage, NY 11714
Phone (516) 796-2222
340 Broadhollow Rd
Farmingdale, NY 11735
Phone (516) 931-0041
101 S Central Ave
Hartsdale, NY 10530
Phone (516) 461-2428
160 E 32nd St
Ste 101
New York, NY 10016
Phone (212) 481-8118
3111 New Hyde Park Rd
North New Hyde Pk, NY 11042
Phone (516) 365-6100
Interoperability endpoints
- brettmellinger@imppllc.allscriptsdirect.net
Organizations & group practices 3
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.
-
- Urology Physician
- Hartsdale, NY
- NPI 1437242781
-
- Non-Pharmacy Dispensing Site
- New Hyde Park, NY
- NPI 1073918009
-
- Anesthesiology Physician
- Harrison, NY
- NPI 1588647200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302134400000",
"number": "1174586366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532 BROADHOLLOW ROAD",
"address_2": "SUITE 142",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117474932",
"telephone_number": "516-931-0041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 GARDEN CITY PLAZA",
"address_2": "SUITE 102",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "11530",
"telephone_number": "516-873-5353",
"fax_number": "516-873-8850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELLINGER",
"first_name": "BRETT",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-10",
"last_updated": "2011-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "156186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.