Individual provider Active NPI

Jonathan Mark Melman, D.C.

  • Chiropractor
  • Boston, MA
National Provider Identifier
1548265853
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 1248 Issued in MA
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, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0604520OtherMAAETNA/US HEALTHCARE
726727OtherMATUFTS
Y35915OtherMABLUE CROSS BLUE SHIELD
2906313-001OtherMACIGNA
AA3766OtherMAHARVARD PILGRIM HEALTH CA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051003000844 MA Practitioner - Chiropractic 6204896855 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
CH 1248MAMDChiropractor

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": "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.

Verify at the official NPI Registry.