Individual provider Active NPI

Melissa Docteur

  • Psychiatric/Mental Health Nurse Practitioner
  • Valley Stream, NY
National Provider Identifier
1417737107
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F405119-01 Issued in NY
Practice address
1073 March Dr
Valley Stream, NY 11580-1840
Phone
(917) 806-5018
NPI assigned
Oct 2, 2023
Last updated
Oct 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F405119-01 NY Primary

Addresses

Primary practice location

1073 March Dr
Valley Stream, NY 11580-1840

Mailing address

1073 March Dr
Valley Stream, NY 11580-1840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231017002017 NY Practitioner - Nurse Practitioner 4789039330 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Bellevue Hospital Medical College, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F405119-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Aug 1, 2024 Accepting new patients
Aldad Medical PC CurrentSince Nov 1, 2023 Accepting new patients
New York University CurrentSince Aug 1, 2024 Accepting new patients
Orenda Psychiatry PLLC Psychiatric/Mental Health CurrentSince Feb 9, 2026 Accepting new patients

Locations

3100 47th Ave
Ste 3100
Long Island City, NY 11101
Phone (516) 965-6336

1 Park Ave
Fl 10
New York, NY 10016
Phone (212) 404-3715

80 5th Ave
Ste 90310
New York, NY 10011

27111 76th Ave
North New Hyde Pk, NY 11040
Phone (718) 289-2100

510 Hempstead Tpke
Rm 203
West Hempstead, NY 11552
Phone 51650572001051

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: mdocteur434241@nyumc.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1417737107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1073 MARCH DR",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1073 MARCH DR",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801840",
            "telephone_number": "917-806-5018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCTEUR",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F405119-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.