Jose Manuel Mella, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

251146 Issued in MA

Practice address

330 Brookline Ave Da 501
East Campus, Beth Israel Deaconess Medical Center
Boston, MA 02215-5403

Phone

(617) 667-8424

Fax

(617) 667-8144

NPI assigned

Nov 2, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351814400000",
    "number": "1487908141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BROOKLINE AVE APT 22B",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155409",
            "telephone_number": "857-210-7652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BROOKLINE AVE DA 501",
            "address_2": "EAST CAMPUS, BETH ISRAEL DEACONESS MEDICAL CENTER",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022155403",
            "telephone_number": "617-667-8424",
            "fax_number": "617-667-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLA",
        "first_name": "JOSE",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-02",
        "last_updated": "2012-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MA",
            "license": "251146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Florence Melillo, M.S. CCC-SLP
• Arek Melkonian
• Gregory Jon Melkonian, MD
• Emiliya Melkumova, M.D.
• Anthony J. Mell, MD, MBA
• Emily Jeanne Mellen, M.A.
• Joanne Ivette Mellen, RN
• Daniel Arthur Melling, HS1
• Mellisa Moss, PLLC
• Bridget J Mello, N.P.

• Gastroenterology Physician in Boston, MA
• Providers in Boston, MA by specialty
• Gastroenterology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; 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.