Active NPI
Alan L Melotek MD PA
- Adult Medicine Physician
- Boca Raton, FL
National Provider Identifier
1265620652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- ME0056918
- Legal business name
- ALAN L MELOTEK MD PA
- Practice address
- 951 NW 13TH St
#1B
Boca Raton, FL 33486-2359 - Phone
- (561) 750-7509
- Fax
- (561) 750-7106
- NPI assigned
- Oct 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alan Leslie Melotek, M.D.
- Title
- President
- Phone
- (561) 750-7509
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | ME0056918 | FL | Primary |
Addresses
Primary practice location
951 NW 13TH St
#1B
Boca Raton, FL 33486-2359
Mailing address
951 NW 13TH St
#1B
Boca Raton, FL 33486-2359
Phone (561) 750-7509
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K2320 | Other | FL | MEDICARE GROUP PROVIDER # |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1244419200000",
"number": "1265620652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "951 NW 13TH ST",
"address_2": "#1B",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334862359",
"telephone_number": "561-750-7509",
"fax_number": "561-750-7106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "951 NW 13TH ST",
"address_2": "#1B",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334862359",
"telephone_number": "561-750-7509",
"fax_number": "561-750-7106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALAN L MELOTEK MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-10",
"last_updated": "2009-06-08",
"status": "A",
"authorized_official_last_name": "MELOTEK",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "LESLIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "561-750-7509",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": "FL",
"license": "ME0056918",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PROVIDER #",
"identifier": "K2320",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.