Individual provider Active NPI

Michelle Beth Mesh, RPA-C

  • Medical Physician Assistant
  • Huntington, NY
National Provider Identifier
1508920612
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
010029 Issued in NY
Practice address
755 New York Ave Ste 250
Huntington, NY 11743-4285
Phone
(631) 423-2663
Fax
(631) 423-4715
NPI assigned
Dec 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 010029 NY Primary

Addresses

Primary practice location

755 New York Ave Ste 250
Huntington, NY 11743-4285

Mailing address

755 New York Ave Ste 250
Huntington, NY 11743-4285
Phone (631) 423-2663

Other practice location 1

82 Lamberts Ln
Staten Island, NY 10314-7210
Phone (718) 477-5479 ext. 103

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
I20080724000497 NY Practitioner - Physician Assistant 7810060829 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Robert V Moriarty MD PC PastSince Apr 21, 2010 Accepting new patients

Organizations & group practices 2

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1508920612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 NEW YORK AVE STE 250",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434285",
            "telephone_number": "631-423-2663",
            "fax_number": "631-423-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 NEW YORK AVE STE 250",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117434285",
            "telephone_number": "631-423-2663",
            "fax_number": "631-423-4715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "82 Lamberts Ln",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103147210",
            "country_code": "US",
            "telephone_number": "718-477-5479 x103",
            "fax_number": "718-761-1770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MESH",
        "first_name": "MICHELLE",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "RPA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "010029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.