Active NPI
Boris Melnikau Medical PC
- Internal Medicine Physician
- Nyack, NY
National Provider Identifier
1366097388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- BORIS MELNIKAU MEDICAL PC
- Practice address
- 311 N Midland Ave Ste 2
Nyack, NY 10960-1638 - Phone
- (917) 306-7820
- NPI assigned
- Aug 6, 2019
- 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. Boris Melnikau, MD
- Title
- President
- Phone
- (917) 306-7820
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
311 N Midland Ave Ste 2
Nyack, NY 10960-1638
Mailing address
319 Hardenburgh Ave
Demarest, NJ 07627-1306
Phone (917) 306-7820
National Provider Directory
National Provider DirectoryLocations
311 N Midland Ave
Ste 2
Nyack, NY 10960
Phone (845) 358-5006
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Infectious Disease Physician
- Nyack, NY
- NPI 1023273380
Internal Medicine
-
- Internal Medicine Physician
- Orangeburg, NY
- NPI 1861552051
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1565049600000",
"number": "1366097388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 HARDENBURGH AVE",
"city": "DEMAREST",
"state": "NJ",
"postal_code": "076271306",
"telephone_number": "917-306-7820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 N MIDLAND AVE STE 2",
"city": "NYACK",
"state": "NY",
"postal_code": "109601638",
"telephone_number": "917-306-7820"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BORIS MELNIKAU MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-06",
"last_updated": "2019-08-06",
"status": "A",
"authorized_official_last_name": "MELNIKAU",
"authorized_official_first_name": "BORIS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-306-7820",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.