Active NPI
Jason Adam Melnick, MD
- Interventional Pain Medicine Physician
- Carmel, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 237650
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00840089 | Other | NY | MEDICARE 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Current | 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 | Past | 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
- jmelnick@direct.health-quest.org
- 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.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
Physical Medicine & Rehabilitation
-
dba Montefiore Community Pharmacy @ CHAM
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Family Medicine Physician
- New York, NY
- NPI 1760288278
-
- Specialist
- Castleton, NY
- NPI 1275533895
-
dba Orthopaedic & Specialty Surgery Center
- Ambulatory Surgical Clinic/Center
- Danbury, CT
- NPI 1174708390
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mount Vernon, NY
- NPI 1992131320
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.