Melida Michelle Moustouka, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

97655601 Issued in NY

Practice address

1761 Interlake Dr
Wantagh, NY 11793-3503

Phone

(516) 469-7723

NPI assigned

May 15, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1235988932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 INTERLAKE DR",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 INTERLAKE DR",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933503",
            "telephone_number": "516-469-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUSTOUKA",
        "first_name": "MELIDA",
        "middle_name": "MICHELLE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-15",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "97655601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morris Scherr DDS Roger E. Sheehy DMD Steven S. Schwartz DDS PC
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• Dorothy Mullaney

• Registered Nurse in Wantagh, NY
• Providers in Wantagh, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; 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.