Organization Active NPI

Melanie L Aya-Ay MD Plastic Surgery PL

  • Plastic and Reconstructive Surgery Physician
  • Lutz, FL
National Provider Identifier
1205274784
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
ME103677 Issued in FL
Legal business name
MELANIE L AYA-AY MD PLASTIC SURGERY PL
Practice address
17523 N Dale Mabry Hwy
Lutz, FL 33548-4521
Phone
(813) 774-5733
Fax
(813) 774-5619
NPI assigned
Jun 6, 2013
Last updated
Jun 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Authorized official

Name
Dr. Melanie Lynn Aya-Ay, M.D.NPI 1497943591
Title
Self
Phone
(813) 774-5733

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X ME103677 FL Primary

Addresses

Primary practice location

17523 N Dale Mabry Hwy
Lutz, FL 33548-4521

Mailing address

17523 N Dale Mabry Hwy
Lutz, FL 33548-4521
Phone (813) 774-5733

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130724000795 FL Part B Supplier - Clinic/Group Practice 5597906123 Receives reassigned benefits from 1 practitioner
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1370476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1205274784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17523 N DALE MABRY HWY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484521",
            "telephone_number": "813-774-5733",
            "fax_number": "813-774-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17523 N DALE MABRY HWY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484521",
            "telephone_number": "813-774-5733",
            "fax_number": "813-774-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELANIE L AYA-AY MD PLASTIC SURGERY PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-06",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "AYA-AY",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SELF",
        "authorized_official_telephone_number": "813-774-5733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME103677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.