Ashley Melillo

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

322284 Issued in NY

Practice address

102 Franklin Ave
Mastic, NY 11950-2619

Phone

(631) 205-4547

NPI assigned

Jul 19, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1437264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437264000000",
    "number": "1396129367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 FRANKLIN AVE",
            "city": "MASTIC",
            "state": "NY",
            "postal_code": "119502619",
            "telephone_number": "631-205-4547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 FRANKLIN AVE",
            "city": "MASTIC",
            "state": "NY",
            "postal_code": "119502619",
            "telephone_number": "631-205-4547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELILLO",
        "first_name": "ASHLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-19",
        "last_updated": "2015-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "322284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mastic Volunteer Ambulance Company, Inc.
• Matt Family Residency
• Sarah Kate Mayott
• Octavia Denise McMillan-Mahabir, LPN
• Jason John Melia, LMHC
• Michael Salvatore Mennella
• Anne Irene Messina
• Catherine V Miller, LPN
• Gail Robin Miller, R.N.
• Katelyn Angela Miller, LPN

• Licensed Practical Nurse in Mastic, NY
• Providers in Mastic, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2015; 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.