Active NPI
Kristina Ingrid Melchert, M.D.
- Pediatrics Physician
- Manhasset, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 60 257640
- Practice address
- 300 Community Drive, 3 Tower
North Shore University Hospital, Dept of Pediatrics
Manhasset, NY 11030 - Phone
- (516) 562-2542
- NPI assigned
- Feb 14, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 60 257640 | NY | Primary |
Addresses
Primary practice location
300 Community Drive, 3 Tower
North Shore University Hospital, Dept of Pediatrics
Manhasset, NY 11030
Mailing address
300 Community Drive, 3 Tower
North Shore University Hospital, Dept of Pediatrics
Manhasset, NY 11030
Phone (516) 562-2542
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60 257640 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Childrens Health Physicians LLP | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Boston Children'S Health Physicians, LLP | Pediatrics | Current | Accepting new patients |
| Westchester County Health Care Corporation | Past | Accepting new patients |
Locations
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235
300 Community Dr
#3
Manhasset, NY 11030
Phone (516) 562-4458
300 Community Dr
Plandome, NY 11030
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Hawthorne, NY
- NPI 1467454967
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Clinical Medical Laboratory
- Sleepy Hollow, NY
- NPI 1588651079
-
- General Acute Care Hospital
- Valhalla, NY
- NPI 1932280666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372982400000",
"number": "1184863102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 COMMUNITY DRIVE, 3 TOWER",
"address_2": "NORTH SHORE UNIVERSITY HOSPITAL, DEPT OF PEDIATRICS",
"city": "MANHASSET",
"state": "NY",
"postal_code": "11030",
"telephone_number": "516-562-2542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 COMMUNITY DRIVE, 3 TOWER",
"address_2": "NORTH SHORE UNIVERSITY HOSPITAL, DEPT OF PEDIATRICS",
"city": "MANHASSET",
"state": "NY",
"postal_code": "11030",
"telephone_number": "516-562-2542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELCHERT",
"first_name": "KRISTINA",
"middle_name": "INGRID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-14",
"last_updated": "2013-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "60 257640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manhasset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2013; 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.