Melissa Fajardo, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

293407 Issued in NY

Practice address

37 Nagle Ave
New York, NY 10040-1422

Phone

(212) 942-0808

Fax

(212) 942-1353

NPI assigned

Aug 7, 2013

Last updated

Apr 14, 2020By 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 2

Addresses

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

Interoperability endpoints

• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
• FHIR API: https://fhir4.healow.com/fhir/r4/DBIIAA/Endpoint/DBIIAA
• FHIR API: https://fhir4.healow.com/fhir/r4/GFEHBA/Endpoint/GFEHBA

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.

• B Fajardo MD PC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1770906802
  Medicare reassignment NPD
• Bienvenido Fajardo, M.D.P.C.

  dba Associated Medical Group, PC

  • Nephrology Physician
  • New York, NY
  • NPI 1891937546
  Medicare reassignment NPD
• Trustees of Columbia University in the City of New York

  dba Department of Medicine

  • Internal Medicine Physician
  • New York, NY
  • NPI 1437176047
  Medicare reassignment NPD
• Trustees of Columbia University in the City of New York

  • Surgery Physician
  • New York, NY
  • NPI 1508266347

  Internal Medicine

  Medicare reassignment NPD
• Trustees of Columbia University in the City of New York

  • Internal Medicine Physician
  • Fort Lee, NJ
  • NPI 1982993184

  NY

  Medicare reassignment NPD
• Trustees of Columbia University in the City of New York

  • Internal Medicine Physician
  • New York, NY
  • NPI 1699289488
  NPD

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1174955579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 NAGLE AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401422",
            "telephone_number": "212-942-0808",
            "fax_number": "212-942-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 NAGLE AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100401422",
            "telephone_number": "212-942-0808",
            "fax_number": "212-942-1353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Wadsworth Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100334816",
            "country_code": "US",
            "telephone_number": "212-543-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAJARDO",
        "first_name": "MELISSA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-07",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "293407",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "293407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bienvenido Fajardo, M.D.
• Carmen Fajardo, LMSW
• Cristina Ray C Fajardo, DNP, RN, CCRN
• Drew Alexander Fajardo, M.D.
• Jessica Fajardo
• Somange Fajardo
• Yesenia Maribel Fajardo
• Mojgan Fajiram, MD
• Allison Yvette Fajo
• Paul Fakeye, R.N.

• Nephrology Physician in New York, NY
• Providers in New York, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.