Active NPI
Melrose Medical Associates
- Specialist
- Melrose, MA
National Provider Identifier
1497874994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 35729
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
National Provider Directory
National Provider Directory- Tax ID family
- Melrose Medical Associates
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Saugus, MA
- NPI 1578770145
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.
-
- Pulmonary Disease Physician
- Melrose, MA
- NPI 1346259488
-
- Internal Medicine Physician
- Melrose, MA
- NPI 1538108626
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
- Melrose Family Dentistry
- Melrose Family Foot Care Group
- Melrose Family Foot Care Group Inc
- Melrose Family Opticians LLC
- Melrose Internal Medicine Assoc PC
- Melrose Orthodontics, PC
- Melrose Surgical Associates, PC
- Melrose Wakefield Cardiac Testing Partnership
- Melrose Wakefield Emergency Physicians, Inc.
- Melrose Wakefield Oral Surgery Inc.
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.