Carlos M Meletiche, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

25MA09084800 Issued in NJ

Practice address

1901 1St Ave
Dept of Em
New York, NY 10029-7404

Phone

(212) 423-6464

NPI assigned

Jan 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ2 enrollments

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 2

Specialty

Emergency Medicine

Education

New York Medical College, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Park Hill Emergency Physician ServicesGroup PAC ID 5395057020, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph'S Medical Center Hospital, Yonkers, NY, CCN 330006

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cmeletiche191229@ahs.direct-ci.com

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.

• Park Hill Emergency Physician Services

  • Emergency Medicine Physician
  • Yonkers, NY
  • NPI 1396123360
  Medicare reassignment Care Compare group NPD
• Emergency Physician Services of New York, P.C.

  • Emergency Medicine Physician
  • Poughkeepsie, NY
  • NPI 1093759847
  Medicare reassignment NPD
• Lawrence Medical Associates, PC

  • Internal Medicine Physician
  • Yorktown Heights, NY
  • NPI 1023257441
  Medicare reassignment NPD
• Emergency Associates of Montclair LLC

  • Emergency Medicine Physician
  • Montclair, NJ
  • NPI 1598112146
  Medicare reassignment NPD
• Emergency Physician Associates of North Jersey P C

  • Emergency Medicine Physician
  • Summit, NJ
  • NPI 1497783419
  Medicare reassignment NPD
• Union Emergency Medical Associates LLC

  • Emergency Medicine Physician
  • Union, NJ
  • NPI 1689847352
  Medicare reassignment NPD
• Lawrence Medical Associates, PC

  • Multi-Specialty Clinic/Center
  • Yorktown Heights, NY
  • NPI 1184115479
  NPD
• Lawrence Medical Associates, PC

  • Emergency Medicine Physician
  • Bronxville, NY
  • NPI 1497260806
  NPD
• Nymhc FPP Nephrology

  • Nephrology Physician
  • New York, NY
  • NPI 1306878657
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Josephs Hospital Yonkers

  • General Acute Care Hospital
  • Harrison, NY
  • NPI 1679883037
  Care Compare affiliation
• St. Joseph'S Hospital, Yonkers

  • General Acute Care Hospital
  • Yonkers, NY
  • NPI 1477640258
  Care Compare affiliation
• St.Vincent'S Hospital Westchester

  • Case Management Agency
  • Harrison, NY
  • NPI 1760792139

  Hospital

  Care Compare affiliation
• St.Vincent'S Hospital Westchester

  • Adult Mental Health Clinic/Center
  • Harrison, NY
  • NPI 1932419306

  Hospital

  Care Compare affiliation
• St.Vincents Hospital Westchester

  • Adult Mental Health Clinic/Center
  • Harrison, NY
  • NPI 1578873949

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504051200000",
    "number": "1386791390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 CENTER AVE",
            "address_2": "3G",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245806",
            "telephone_number": "646-279-9082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 1ST AVE",
            "address_2": "DEPT OF EM",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100297404",
            "telephone_number": "212-423-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELETICHE",
        "first_name": "CARLOS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2017-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "199075",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA09084800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvette Melendez, LCSW
• Gustavo Melendres
• Mary Melengic, RPH
• Michael Konstantinos Meleounis, L. AC.
• Febin Melepura, MD
• Jefrey Meletio, LCSW
• Olga Melgar, RN
• Hernan Melgarejo, D.P.M.
• Ozzie Melhado
• Shahir Maan Melhem, MD

• Emergency Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; 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.
• 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.