Individual provider Active NPI

Melanie Paige, MD

  • Pediatric Adolescent Medicine Physician
  • Nanuet, NY
National Provider Identifier
1508929951
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
215556-1 Issued in NY
Practice address
200 Airport Executive Park
Ste 205
Nanuet, NY 10954-5262
Phone
(845) 356-3610
Fax
(845) 352-4003
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 215556-1 NY Primary

Addresses

Primary practice location

200 Airport Executive Park
Ste 205
Nanuet, NY 10954-5262

Mailing address

200 Airport Executive Park
Ste 205
Nanuet, NY 10954-5262
Phone (845) 356-3610

Other identifiers 1

IdentifierTypeStateIssuer
03378407MedicaidNY

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230914001917 NY Practitioner - Pediatric Medicine 4981068525 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
215556-1NYMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Refuah Health Center Inc Current Accepting new patients
Refuah Health Center, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Refuah Health Center, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Hillcrest Medical Associates, P.C,. Past Accepting new patients

Locations

728 N Main St
New Square, NY 10977
Phone (845) 354-9301

5 Twin Ave
Spring Valley, NY 10977
Phone 84535493001249

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1508929951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 AIRPORT EXECUTIVE PARK",
            "address_2": "STE 205",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109545262",
            "telephone_number": "845-356-3610",
            "fax_number": "845-352-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AIRPORT EXECUTIVE PARK",
            "address_2": "STE 205",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109545262",
            "telephone_number": "845-356-3610",
            "fax_number": "845-352-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAIGE",
        "first_name": "MELANIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "215556-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03378407",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

Verify at the official NPI Registry.