Melrose Podiatry Associates, Inc.
Organization Active NPI Podiatrist · Philadelphia, PA
NPI 1407960396 · NPPES record last updated Sep 6, 2012
Key facts
- NPI
- 1407960396
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Podiatrist 213E00000X
- Legal business name
- MELROSE PODIATRY ASSOCIATES, INC.
- Practice address
- 1520 Snyder Ave
Philadelphia, PA 19145-3937 - Phone
- (215) 462-2610
- Fax
- (215) 462-0445
- NPI assigned
- Aug 18, 2006
- Organization subpart
- No
Authorized official
- Name
- Michael John Cherella, DPM
- Title
- President
- Phone
- (215) 462-2610
Practitioners 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040722000829 | PA | Part B Supplier - Clinic/Group Practice | 4688654429 |
Receives reassigned benefits from 1 practitioner Practice locations: Phila, PA |
National Provider Directory
Locations
1520 Snyder Ave
Philadelphia, PA 19145
Phone (215) 462-2610
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist |
213E00000X | Yes |
Addresses
Primary practice location
1520 Snyder Ave
Philadelphia, PA 19145-3937
Mailing address
1520 Snyder Avenue
Philadephia, PA 19145
Phone (215) 462-2610
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 623152 | Other | PA | BLUE CROSS/BLUE SHIELD |
| 0148848101 | Medicaid | PA |
Other providers in Philadelphia, PA
- Jessamyn Ann Melnicoff
- Andrew R. Melnyk
- Natividad Melo
- Karleen Theresa Melody
- Nicole Melone
- Dennis Melton
- Margaret Melton
- Delia Christina Meltontate
- Deborah T Meltz
- David Meltzer
All providers in Philadelphia, PA · Podiatrist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.