Active NPI
Jonathan Mark Melman, D.C.
- Chiropractor
- Boston, MA
National Provider Identifier
1548265853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH 1248
- Practice address
- 667 Boylston St
4TH Floor
Boston, MA 02116-4809 - Phone
- (617) 421-1881
- Fax
- (617) 236-0359
- NPI assigned
- Jun 15, 2005
- Last updated
- Nov 24, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH 1248 | MA | Primary |
Addresses
Primary practice location
667 Boylston St
4TH Floor
Boston, MA 02116-4809
Mailing address
667 Boylston St
4TH Floor
Boston, MA 02116-4809
Phone (617) 421-1881
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0604520 | Other | MA | AETNA/US HEALTHCARE |
| 726727 | Other | MA | TUFTS |
| Y35915 | Other | MA | BLUE CROSS BLUE SHIELD |
| 2906313-001 | Other | MA | CIGNA |
| AA3766 | Other | MA | HARVARD PILGRIM HEALTH CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
667 Boylston St
FL 4
Boston, MA 02116-4809
Phone (617) 421-1881
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH 1248 | MA | MD | Chiropractor |
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.
-
- Chiropractor
- Boston, MA
- NPI 1487653580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416787200000",
"number": "1548265853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "667 BOYLSTON ST",
"address_2": "4TH FLOOR",
"city": "BOSTON",
"state": "MA",
"postal_code": "021164809",
"telephone_number": "617-421-1881",
"fax_number": "617-236-0359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "667 BOYLSTON ST",
"address_2": "4TH FLOOR",
"city": "BOSTON",
"state": "MA",
"postal_code": "021164809",
"telephone_number": "617-421-1881",
"fax_number": "617-236-0359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELMAN",
"first_name": "JONATHAN",
"middle_name": "MARK",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-15",
"last_updated": "2014-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "CH 1248",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA/US HEALTHCARE",
"identifier": "0604520",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "726727",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Y35915",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2906313-001",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH CA",
"identifier": "AA3766",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.