Individual provider Active NPI

Melissa Iammatteo, M.D.

  • Allergy & Immunology Physician
  • White Plains, NY
National Provider Identifier
1457626897
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
277818 Issued in NY
Practice address
170 Haviland LN
White Plains, NY 10605-3033
Phone
(914) 428-1013
NPI assigned
Mar 19, 2012
Reactivated
Jul 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 277818 NY
Allergy & Immunology Physician 207K00000X 277818 NY Primary

Addresses

Primary practice location

170 Haviland LN
White Plains, NY 10605-3033

Mailing address

170 Haviland LN
White Plains, NY 10605-3033
Phone (917) 509-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
277818NYMDInternal Medicine Physician
251590MAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa Iammatteo, M.D. PLLC CurrentSince Oct 25, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1457626897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 HAVILAND LN",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106053033",
            "telephone_number": "917-509-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 HAVILAND LN",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106053033",
            "telephone_number": "914-428-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IAMMATTEO",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-19",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "deactivation_date": "2020-07-17",
        "reactivation_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "277818",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "277818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.