NPIMap

Organization Active NPI

Melbourne Gynecology

  • Gynecology Physician
  • Melbourne, FL
National Provider Identifier
1336719061
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
MELBOURNE GYNECOLOGY
Practice address
410 N Wickham Rd Ste 201
Melbourne, FL 32935-8668
Phone
(321) 242-0035
Fax
(321) 242-0075
NPI assigned
Jun 25, 2021
Last updated
Jun 25, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
FLORIDA WOMAN CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 25, 2021

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

Authorized official

Name
Erica Hernandez
Title
Manager
Phone
(561) 300-2410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X NU Primary

Addresses

Primary practice location

410 N Wickham Rd Ste 201
Melbourne, FL 32935-8668

Mailing address

PO Box 9100
Belfast, ME 04915-9100
Phone (561) 300-2410

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2075848Melbourne Gynecology LLC410 N Wickham Rd Ste 201, Melbourne, FL 32935Certificate of waiverApr 6, 2028

National Provider Directory

National Provider Directory
Tax ID family
Xiao-Mei Zeng MD LLC327 organizations share this tax ID, including this one
Part of
Xiao-Mei Zeng MD LLC

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624579200000",
    "number": "1336719061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9100",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049159100",
            "telephone_number": "561-300-2410",
            "fax_number": "561-235-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N WICKHAM RD STE 201",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358668",
            "telephone_number": "321-242-0035",
            "fax_number": "321-242-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELBOURNE GYNECOLOGY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA WOMAN CARE LLC",
        "enumeration_date": "2021-06-25",
        "last_updated": "2021-06-25",
        "certification_date": "2021-06-25",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-300-2410"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.