North Shore Medical Asscoaites,PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

178298 Issued in NY

Legal business name

NORTH SHORE MEDICAL ASSCOAITES,PC

Practice address

107 Northern Blvd Ste 206
Great Neck, NY 11021-4309

Phone

(516) 829-2016

Fax

(877) 991-9340

NPI assigned

Feb 25, 2014

Last updated

Feb 25, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael John Melgar, M.D.NPI 1801893755

Title

Owner

Phone

(516) 829-2016

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael John Melgar, MD

  • Internal Medicine Physician
  • Great Neck, NY
  • NPI 1801893755
  NPD (past) Authorized official

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1457776627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 NORTHERN BLVD STE 206",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214309",
            "telephone_number": "516-829-2016",
            "fax_number": "877-991-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 NORTHERN BLVD STE 206",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214309",
            "telephone_number": "516-829-2016",
            "fax_number": "877-991-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE MEDICAL ASSCOAITES,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-25",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "MELGAR",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-829-2016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "178298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Shore Lij Medical Group Urgent Medical Care, P.C
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• North Shore Long Island Jewish
• North Shore Long Island Jewish Health Care Inc
• North Shore Medical Arts, LLP
• North Shore Physical Therapy and Occupational Therapy, PLLC
• North Shore Podiatry, PC
• North Shore Sleep Medicine
• North Shore Surgical Oncology Associates, PC
• North Shore Surgical Specialists, M.D. P.C.

• Internal Medicine Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.