Organization Active NPI

Boris Melnikau Medical PC

  • Internal Medicine Physician
  • Nyack, NY
National Provider Identifier
1366097388
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

Updated by the provider on Aug 6, 2019

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.