Individual provider Active NPI

Evelyn Melgar, M.S,ED

  • Specialist
  • Glendale, NY
National Provider Identifier
1538580832
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
439687101 Issued in NY
Practice address
8866 Myrtle Ave
Glendale, NY 11385-7857
Phone
(718) 850-0400
Fax
(718) 850-4441
NPI assigned
Jan 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 439687101 NY Primary

Addresses

Primary practice location

8866 Myrtle Ave
Glendale, NY 11385-7857

Mailing address

8866 Myrtle Ave
Glendale, NY 11385-7857
Phone (718) 850-0400

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
439687101NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1538580832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8866 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857857",
            "telephone_number": "718-850-0400",
            "fax_number": "718-850-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8866 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857857",
            "telephone_number": "718-850-0400",
            "fax_number": "718-850-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELGAR",
        "first_name": "EVELYN",
        "credential": "M.S,ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "439687101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.