Gary N. Mellen, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

157250 Issued in NY

Practice address

10 Commerce Dr
New Rochelle, NY 10801-5214

Phone

(914) 637-3510

Fax

(914) 819-0061

NPI assigned

Dec 2, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• New Day Medical PC

  • Anesthesiology Physician
  • Flushing, NY
  • NPI 1396131272
  Medicare reassignment NPD
• York Anesthesiologists PLLC

  • Anesthesiology Physician
  • New York, NY
  • NPI 1508947441
  Medicare reassignment NPD
• Lenox Hill Medical Anesthesiology, PLLC

  • Specialist
  • New York, NY
  • NPI 1447256573
  NPD (past)
• Professional Anesthesiologists of Greater New York PC

  • Pain Medicine (Anesthesiology) Physician
  • White Plains, NY
  • NPI 1629170170
  NPD (past)
• Robert Bernholc MD PC

  • Anesthesiology Physician
  • Setauket, NY
  • NPI 1972640761
  NPD (past)

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1346224482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 COMMERCE DR",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015214",
            "telephone_number": "914-637-3510",
            "fax_number": "914-819-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 COMMERCE DR",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015214",
            "telephone_number": "914-637-3510",
            "fax_number": "914-819-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLEN",
        "first_name": "GARY",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-02",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "157250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01210897",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin L Meacham, M.D.
• Emma Medina, MD
• Susan Meisler, MD
• Virma M Melendez
• Julissa Melgar
• Janet M. Mellusi, R.N.
• Adamu Seidu Mende
• Nicole Mendoza, LMHC
• David J Mener, MD
• Akosua L Mensah, RN

• Anesthesiology Physician in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.