Individual provider Active NPI

Jason Adam Melnick, MD

  • Interventional Pain Medicine Physician
  • Carmel, NY
National Provider Identifier
1548464555
Registry record updated Feb 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
237650 Issued in NY
Practice address
664 Stoneleigh Ave
Suite 300
Carmel, NY 10512-3940
Phone
(845) 278-8400
Fax
(845) 278-4326
NPI assigned
Jun 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 55710 CT
Physical Medicine & Rehabilitation Physician 208100000X 237650 NY
Interventional Pain Medicine Physician 208VP0014X 237650 NY Primary

Addresses

Primary practice location

664 Stoneleigh Ave
Suite 300
Carmel, NY 10512-3940

Mailing address

664 Stoneleigh Ave
Suite 300
Carmel, NY 10512-3940
Phone (845) 278-8400

Other practice location 1

40 Old Ridgebury Rd Ste 101
Danbury, CT 06810-5119
Phone (845) 278-8400

Other identifiers 1

IdentifierTypeStateIssuer
P00840089OtherNYMEDICARE RAILROAD

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
I20071102000178 NY Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 0143317495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Temple University School of Medicine, 2003
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

12 N 7TH Ave
Mount Vernon, NY 10550-2026
Phone (914) 378-6148

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jul 9, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Jul 9, 2025 Accepting new patients
Montefiore Medical Center Physical Medicine & Rehabilitation Current Accepting new patients
Integrative Medical Care PC Past Accepting new patients
Orthopaedic Specialty Surgery Center LLC PastSince May 29, 2019 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: jmelnick@direct.health-quest.org
  • Direct secure messaging: jmelnick@montefioredirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1548464555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 STONELEIGH AVE",
            "address_2": "SUITE 300",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105123940",
            "telephone_number": "845-278-8400",
            "fax_number": "845-278-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 STONELEIGH AVE",
            "address_2": "SUITE 300",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105123940",
            "telephone_number": "845-278-8400",
            "fax_number": "845-278-4326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Old Ridgebury Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068105119",
            "country_code": "US",
            "telephone_number": "845-278-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELNICK",
        "first_name": "JASON",
        "middle_name": "ADAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CT",
            "license": "55710",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "237650",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "237650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00840089",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, NY

Sources for this page

Verify at the official NPI Registry.