Individual provider Active NPI

Melina Cherian Pooppallil, DDS

  • General Practice Dentistry
  • New City, NY
National Provider Identifier
1518588920
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
61891 Issued in NY
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

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

LicenseStateTypeSpecialty
61891NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Palisades Dental Associates PastSince Dec 21, 2021 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.

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.

Verify at the official NPI Registry.