Melanie Joan Bernitz, M.D.
Individual provider Active NPI Family Medicine Physician · New York, NY
NPI 1477582666 · NPPES record last updated Oct 12, 2007
Key facts
- NPI
- 1477582666
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 226377 (NY)
- Practice address
- 60 Haven Ave
Student Health Services
New York, NY 10032-2604 - Phone
- (212) 305-3400
- Fax
- (212) 342-3955
- NPI assigned
- Jul 1, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140508000161 | NY | Practitioner - Family Practice | 2961394176 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 226377 | NY | MD | Licensed Practical Nurse |
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Current |
Accepting new patients | |
| The New York and Presbyterian Hospital | Past | Accepting new patients | |
| The New York and Presbyterian Hospital | Family Medicine | Past | Accepting new patients |
Locations
635 W 165th St
New York, NY 10032
Phone (212) 305-3039
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 226377 | NY | Yes |
Addresses
Primary practice location
60 Haven Ave
Student Health Services
New York, NY 10032-2604
Mailing address
60 Haven Ave
Student Health Services
New York, NY 10032-2604
Phone (212) 305-3400
Other providers in New York, NY
- Pierre-Luc Bernier
- Carolyn Bernieri
- Stephanie Bernik
- Thomas Bernik
- Philipp Berning
- John Berno
- Lindsey Marie Bernoskie
- Aleksandra Berns
- Karina Bernshtein
- Bernstein Medical, PC
All providers in New York, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.