Organization Active NPI

Melrose Medical Associates

  • Specialist
  • Melrose, MA
National Provider Identifier
1497874994
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35729 Issued in MA
Legal business name
MELROSE MEDICAL ASSOCIATES
Practice address
792 Main St
Melrose, MA 02176-2710
Phone
(781) 662-7037
Fax
(781) 662-6164
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Aleander Latty, MD
Title
President
Phone
(781) 662-7037

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 35729 MA Primary

Addresses

Primary practice location

792 Main St
Melrose, MA 02176-2710

Mailing address

792 Main St
Melrose, MA 02176-2710
Phone (781) 662-7037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100317001084 MA Part B Supplier - Clinic/Group Practice 1153456991 Receives reassigned benefits from 2 practitioners
Practice locations: Melrose, MA

National Provider Directory

National Provider Directory
Tax ID family
Melrose Medical Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

792 Main St
Melrose, MA 02176
Phone (781) 662-7037

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497874994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 MAIN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021762710",
            "telephone_number": "781-662-7037",
            "fax_number": "781-662-6164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 MAIN ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021762710",
            "telephone_number": "781-662-7037",
            "fax_number": "781-662-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELROSE MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LATTY",
        "authorized_official_first_name": "ALEANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-662-7037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "35729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.