Individual provider Active NPI

Melaine Angelique McLean, MD

  • Pediatrics Physician
  • Yonkers, NY
National Provider Identifier
1548356660
Registry record updated Jul 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
221922 Issued in NY
Practice address
219 Bronx River Rd Apt 6J
Yonkers, NY 10704-3721
Phone
(646) 342-4581
NPI assigned
Oct 5, 2006
Last updated
Jul 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 221922 NY Primary

Addresses

Primary practice location

219 Bronx River Rd Apt 6J
Yonkers, NY 10704-3721

Mailing address

219 Bronx River Rd Apt 6J
Yonkers, NY 10704-3721
Phone (646) 342-4581

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171228001062 NY Practitioner - Pediatric Medicine 5193048791 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Pediatrics CurrentSince Jul 13, 2018 Accepting new patients
Montefiore Medical Center CurrentSince Jul 13, 2018 Accepting new patients
Boston Children's Health Physicians, LLP Pediatrics CurrentSince Oct 3, 2017 Accepting new patients
Boston Childrens Health Physicians LLP CurrentSince Oct 3, 2017 Accepting new patients
Saltzman, Tanis, Pittell, Levin and Jacobson Pediatrics Past Accepting new patients
Saltzman, Tanis, Pittel, Levin and Jacobson Pediatrics Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235

10 Ronald Reagan Blvd
Warwick, NY 10990
Phone (845) 986-2058

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721433600000",
    "number": "1548356660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 BRONX RIVER RD APT 6J",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107043721",
            "telephone_number": "646-342-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 BRONX RIVER RD APT 6J",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107043721",
            "telephone_number": "646-342-4581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEAN",
        "first_name": "MELAINE",
        "middle_name": "ANGELIQUE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2024-07-20",
        "certification_date": "2024-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "221922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.