Individual provider Active NPI

Erin Kathleen Melley, PA-C

  • Physician Assistant
  • New York, NY
National Provider Identifier
1487751624
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
030420 Issued in NY
Practice address
928 Broadway Ste 204
New York, NY 10010-8162
Phone
(212) 982-8229
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 030420 NY Primary

Addresses

Primary practice location

928 Broadway Ste 204
New York, NY 10010-8162

Mailing address

928 Broadway Ste 204
New York, NY 10010-8162
Phone (212) 982-8229

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240313003601 NY Practitioner - Physician Assistant 1759278799 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
030420NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sherry Shieh, M.D., P.C. CurrentSince May 4, 2025 Accepting new patients
Physicians Dermpath Laboratory Past Accepting new patients
Laurence S Harris MDPC Past Accepting new patients

Locations

928 Broadway
Ste 204
New York, NY 10010
Phone (212) 982-8229

Organizations & group practices 5

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1487751624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 BROADWAY STE 204",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100108162",
            "telephone_number": "212-982-8229",
            "fax_number": "646-792-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 BROADWAY STE 204",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100108162",
            "telephone_number": "212-982-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLEY",
        "first_name": "ERIN",
        "middle_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "030420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.