Neil Stanley Medalie, M.D.

Primary specialty

Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X

License

ME 83624 Issued in FL

Practice address

3790 7TH Ter
Suite #102
Vero Beach, FL 32960-6552

Phone

(772) 567-7088

NPI assigned

Sep 11, 2006

Last updated

May 21, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Treasure Coast Pathology Lab LLC

  • Clinical Medical Laboratory
  • Vero Beach, FL
  • NPI 1760775886
  Authorized official Same address or phone
• Acupath Inc

  dba Pathology Associates of Indian River

  • Clinical Medical Laboratory
  • Vero Beach, FL
  • NPI 1396875936
  NPD (past)

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1225132251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 36TH ST",
            "address_2": "BLD A",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3790 7TH TER",
            "address_2": "SUITE #102",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606552",
            "telephone_number": "772-567-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDALIE",
        "first_name": "NEIL",
        "middle_name": "STANLEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "FL",
            "license": "ME 83624",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME 83624",
            "primary": false
        },
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "FL",
            "license": "ME 83624",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Meacham, PHARMD
• Marina Meade, RPH
• Melissa Meadows, NP
• Daniel Meant
• Med Repairs Inc (Med Repairs & Mobility)
• Mederi Caretenders VS of SE FL, LLC (Mederi Caretenders)
• Medical Clinics P.a. (The Wellness Center at Vero)
• Medical Hotspots, Inc (Bailey's Pharmacy)
• Medical Hotspots, Inc (Bailey's Medical Equipment and Supplies)
• Medical Hotspots, Inc (Bailey's Pharmacy)

• Dermatopathology (Pathology) Physician in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Dermatopathology (Pathology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.