Individual provider Active NPI

John Melnick, M.D.

  • Diagnostic Radiology Physician
  • New York, NY
National Provider Identifier
1477552933
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
221085-1 Issued in NY
Practice address
525 Park Ave
New York, NY 10021-8141
Phone
(212) 888-1000
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 221085-1 NY Primary

Addresses

Primary practice location

525 Park Ave
New York, NY 10021-8141

Mailing address

PO Box 7087
Orange, CA 92863-7087
Phone (714) 571-5000

Other identifiers 1

IdentifierTypeStateIssuer
02717893MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040621000269 NY Practitioner - Diagnostic Radiology 6204811730 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Icahn School of Medicine at Mount Sinai, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lenox Hill Radiology and Medical Imaging Associates PCGroup PAC ID 2264424712, 245 clinicians

Practice addresses (Care Compare)

1014 Brooklyn Ave
Brooklyn, NY 11203-4003
Phone (718) 282-7000

1050 Clove Rd
Staten Island, NY 10301-3627
Phone (646) 680-4917

1055 Stewart Ave
Bethpage, NY 11714-3596
Phone (855) 547-4227

1128 Eastern Pkwy
Brooklyn, NY 11213-4108
Phone (718) 732-0222

1137 Broadway
Hewlett, NY 11557-2321
Phone (516) 569-8885

1161 Montauk Hwy
West Islip, NY 11795-4930
Phone (631) 277-1600

1230 Ave R
Brooklyn, NY 11229-1016
Phone (718) 376-6300

130 E 67TH St
New York, NY 10065-6136
Phone (212) 772-3111

13528 37TH Ave
Flushing, NY 11354-4108
Phone (212) 772-3111

1390 Hempstead Tpke
Elmont, NY 11003-2539
Phone (631) 277-1600

14015 Sanford Ave
Flushing, NY 11355-2686
Phone (646) 680-3699

141 S Central Ave
Hartsdale, NY 10530-2319
Phone (914) 761-4030

1414 Newkirk Ave
Brooklyn, NY 11226-6599
Phone (718) 576-6820

144 4TH Ave
New York, NY 10003-4901
Phone (212) 590-2900

146 Manetto Hill Rd
Suite 140
Plainview, NY 11803-1324
Phone (516) 522-3600

147 W 15TH St
New York, NY 10011-6749
Phone (212) 590-5900

17802 Hillside Ave
Jamaica, NY 11432-3145
Phone (855) 547-4227

1790 Broadway
FL 9
New York, NY 10019-1412
Phone (212) 590-2900

18 Squadron Blvd
New City, NY 10956-5210
Phone (845) 634-9729

18005 Hillside Ave
Jamaica, NY 11432-4727
Phone 6466801300681211

1888 Westchester Ave
Bronx, NY 10472-3000
Phone (718) 732-0222

195 Montague St
Brooklyn, NY 11201-3628
Phone (718) 422-8000

1991 Marcus Ave
New Hyde Park, NY 11042-2057
Phone (646) 680-4099

2012 Sunrise Hwy
Merrick, NY 11566-3825
Phone (631) 277-1600

20620 Linden Blvd
Cambria Heights, NY 11411-1524
Phone (646) 680-3299

Hospital & facility affiliations

  • New York-Presbyterian/Queens Hospital, Flushing, NY, CCN 330055

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
221085-1NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Diagnostic Radiology CurrentSince Jan 1, 2013 Accepting new patients
Lenox Hill Radiology & Medical Imaging Associates, PC Diagnostic Radiology CurrentSince Jun 20, 2010 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Hudson Valley Radiology Associates PLLC Diagnostic Radiology CurrentSince Feb 1, 2020 Accepting new patients
New York Private Medical Imaging Practice, PLLC CurrentSince Apr 1, 2011 Accepting new patients
North Shore Health System Medical Faculty Group Practice Inc Past Accepting new patients
Beverly Radiology Medical Group Diagnostic Radiology Past Accepting new patients

Locations

27443 Network Pl
Chicago, IL 60673

27745 Network Pl
Chicago, IL 60673

375 E Main St
Ste 12
Bay Shore, NY 11706
Phone (631) 665-2261

7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915

7901 Broadway
Flushing, NY 11373
Phone (718) 334-2156

8940 56th Ave
Flushing, NY 11373
Phone (718) 335-5532

15806 Northern Blvd
Flushing, NY 11358
Phone (718) 353-3688

214 Wall St
Huntington, NY 11743
Phone (631) 385-8855

570 Smith Haven Mall
Lake Grove, NY 11755
Phone (631) 338-8131

18 Squadron Blvd
New City, NY 10956
Phone (845) 368-3002

147 W 15th St
New York, NY 10011
Phone (212) 473-5323

106 E 61st St
New York, NY 10065
Phone (212) 751-9090

400 E 66th St
New York, NY 10065
Phone (212) 838-4243

315 W 57th St
Ste LL4
New York, NY 10019
Phone (212) 698-5300

Organizations & group practices 7

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 4

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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398729600000",
    "number": "1477552933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7087",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928637087",
            "telephone_number": "714-571-5000",
            "fax_number": "714-571-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100218141",
            "telephone_number": "212-888-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELNICK",
        "first_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2014-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "221085-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02717893",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.