Individual provider Active NPI

Melody Shahrzad Behnam, MD

  • Obstetrics & Gynecology Physician
  • Ridgewood, NJ
National Provider Identifier
1467418459
Registry record updated Sep 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA07923800 Issued in NJ
Practice address
317 Franklin Ave
Ridgewood, NJ 07450-3316
Phone
(201) 447-1620
Fax
(201) 447-4977
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA07923800 NJ Primary

Addresses

Primary practice location

317 Franklin Ave
Ridgewood, NJ 07450-3316

Mailing address

317 Franklin Ave
Ridgewood, NJ 07450-3316
Phone (201) 447-1620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050914000336 NJ Practitioner - Obstetrics/Gynecology 1254364995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

317 Franklin Ave
Ridgewood, NJ 07450-3316

Hospital & facility affiliations

  • Valley Hospital Hospital, Paramus, NJ, CCN 310012
  • Hackensack University Medical Center Hospital, Hackensack, NJ, CCN 310001
  • Englewood Hospital and Medical Center Hospital, Englewood, NJ, CCN 310045
  • Hackensack Meridian Health Pascack Valley Medical Hospital, Westwood, NJ, CCN 310130
  • Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07923800NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Hill Obstetrics & Gynecology Associates,PA CurrentSince Mar 16, 2009 Accepting new patients
Cedar Hill Obstetrical & Gynecological Assoc PA Obstetrics & Gynecology PastSince Jan 1, 1990 Accepting new patients
Melody S. Behnam, MD, PC Obstetrics & Gynecology PastSince Jan 10, 2007 Accepting new patients

Locations

317 Franklin Ave
Ridgewood, NJ 07450
Phone (201) 447-1620

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475020800000",
    "number": "1467418459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 FRANKLIN AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503316",
            "telephone_number": "201-447-1620",
            "fax_number": "201-447-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 FRANKLIN AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503316",
            "telephone_number": "201-447-1620",
            "fax_number": "201-447-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEHNAM",
        "first_name": "MELODY",
        "middle_name": "SHAHRZAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2016-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA07923800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.