Active NPI
Melissa Buchan
- Pediatrics Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 305101
- Practice address
- 462 1St Ave RM 345a
New York, NY 10016-9196 - Phone
- (212) 263-6559
- NPI assigned
- Mar 31, 2017
- Last updated
- Jun 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | NU | ||
| Pediatrics Physician | 208000000X | 305101 | NY | Primary |
Addresses
Primary practice location
462 1St Ave RM 345a
New York, NY 10016-9196
Mailing address
7646 175TH St
Fresh Meadows, NY 11366-1510
Phone (718) 551-8482
Other practice location 1
300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-0100
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York University | Current | Accepting new patients | |
| New York University | Pediatrics | Current | Accepting new patients |
Locations
300 Community Dr
Manhasset, NY 11030
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Interoperability endpoints
- mbuchan361856@nyumc.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NYU Faculty Group Practice
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
NY, Pediatrics
-
dba NYU Langone Ambulatory Care Chelsea
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591833600000",
"number": "1528590296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7646 175TH ST",
"city": "FRESH MEADOWS",
"state": "NY",
"postal_code": "113661510",
"telephone_number": "718-551-8482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "462 1ST AVE RM 345A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100169196",
"telephone_number": "212-263-6559"
}
],
"practiceLocations": [
{
"address_1": "300 Community Dr",
"address_purpose": "LOCATION",
"city": "Manhasset",
"state": "NY",
"postal_code": "110303816",
"country_code": "US",
"telephone_number": "516-562-0100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUCHAN",
"first_name": "MELISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-31",
"last_updated": "2020-06-11",
"certification_date": "2020-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "305101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.