Nick Mellis MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0047762 Issued in MD

Legal business name

NICK MELLIS MD PA

Practice address

2352 York Rd
Timonium, MD 21093-2236

Phone

(410) 560-5652

NPI assigned

Jan 19, 2010

Organization subpart

Yes

Parent organization

NICHOLAS MELLISAs reported in NPPES

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

Authorized official

Name

Nick Mellis

Title

Owner

Phone

(410) 560-5652

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Nicholas Mellis MD PA

Locations

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1518298389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2352 YORK RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932236",
            "telephone_number": "410-560-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2352 YORK RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932236",
            "telephone_number": "410-560-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICK MELLIS MD PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NICHOLAS MELLIS",
        "enumeration_date": "2010-01-19",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "MELLIS",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-560-5652"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0047762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Nause
• Deborah Johnson Naylor, PHD, RN
• Grace Ann Nebres-Zuckerman, LCSW-C
• Neil Charnowitz DDS LLC
• NH BV Mays Chapel Tenant, LLC
• Xinyuan Ning, M.D.
• Lauren Frances Nittinger
• NKC Baltimore North, LLC
• Emmanuella N. Nnadozie
• Marjan Norouzi, RPH

• Internal Medicine Physician in Timonium, MD
• Providers in Timonium, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.