Active NPI
Melina Cherian Pooppallil, DDS
- General Practice Dentistry
- New City, NY
National Provider Identifier
1518588920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 61891
- Practice address
- 381 S Little Tor Rd
New City, NY 10956-1427 - Phone
- (845) 634-5208
- NPI assigned
- Apr 27, 2020
- Last updated
- Dec 22, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 61891 | NY | Primary |
Addresses
Primary practice location
381 S Little Tor Rd
New City, NY 10956-1427
Mailing address
13 Red Oak LN
Cortlandt Manor, NY 10567-6136
Phone (914) 552-6356
Other practice location 1
7 Hemion Rd Ste 210
Suffern, NY 10901-4919
Phone (845) 202-1367
Other names 1
- Melina Nayyer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61891 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palisades Dental Associates | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- New City, NY
- NPI 1326147166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640131200000",
"number": "1518588920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 RED OAK LN",
"city": "CORTLANDT MANOR",
"state": "NY",
"postal_code": "105676136",
"telephone_number": "914-552-6356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "381 S LITTLE TOR RD",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109561427",
"telephone_number": "845-634-5208"
}
],
"practiceLocations": [
{
"address_1": "7 Hemion Rd Ste 210",
"address_purpose": "LOCATION",
"city": "Suffern",
"state": "NY",
"postal_code": "109014919",
"country_code": "US",
"telephone_number": "845-202-1367",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POOPPALLIL",
"first_name": "MELINA",
"middle_name": "CHERIAN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-27",
"last_updated": "2021-12-22",
"certification_date": "2021-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "61891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELINA",
"last_name": "NAYYER",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in New City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.