Melvin E. Prostkoff, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

6841 Issued in NH

Practice address

750 Central Avenue - Suite H
Great Bay Neurosurgical Associates, P.a.
Dover, NH 03820-3434

Phone

(603) 749-0888

Fax

(603) 749-9285

NPI assigned

May 26, 2009

Sex

Male

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Great Bay Neurosurgical Associates, P.a.

  • Neurological Surgery Physician
  • Dover, NH
  • NPI 1194950840
  NPD (past) Authorized official

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243296000000",
    "number": "1255566907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 CENTRAL AVENUE - SUITE H",
            "address_2": "GREAT BAY NEUROSURGICAL ASSOCIATES, P.A.",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203434",
            "telephone_number": "603-749-0888",
            "fax_number": "603-749-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 CENTRAL AVENUE - SUITE H",
            "address_2": "GREAT BAY NEUROSURGICAL ASSOCIATES, P.A.",
            "city": "DOVER",
            "state": "NH",
            "postal_code": "038203434",
            "telephone_number": "603-749-0888",
            "fax_number": "603-749-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSTKOFF",
        "first_name": "MELVIN",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-26",
        "last_updated": "2009-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NH",
            "license": "6841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Poole
• Judy Poulin
• Keely Power
• Melissa Ann Pozner, CPNP-PC
• Jennifer Elyse Price, LMT
• Jonathan Proulx, MD
• Chelsey E Prugar, PA-C
• Bartlomiej A Pruszak, PT
• Conrad Pszczola
• Anna Puertas, MA, CCC-SLP

• Neurological Surgery Physician in Dover, NH
• Providers in Dover, NH by specialty
• Neurological Surgery Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; 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.