Linda Kleitman Mermelstein, MD, MPH

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

169891 Issued in NY

Practice address

Scdhs 3500 Sunrise Highway
Suite 124
Great River, NY 11739-9006

Phone

(631) 854-0206

NPI assigned

Oct 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• County of Suffolk

  dba Bureau of Public Health Nursing-LTHC

  • Home Health Agency
  • Great River, NY
  • NPI 1497859615
  NPD (past)
• County of Suffolk

  dba Bureau of Public Health Nursing - CHHA

  • Home Health Agency
  • Great River, NY
  • NPI 1871506055
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1578646014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9006",
            "address_2": "SCDHS 3500 SUNRISE HIGHWAY, SUITE 124",
            "city": "GREAT RIVER",
            "state": "NY",
            "postal_code": "117399006",
            "telephone_number": "631-854-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SCDHS 3500 SUNRISE HIGHWAY",
            "address_2": "SUITE 124",
            "city": "GREAT RIVER",
            "state": "NY",
            "postal_code": "117399006",
            "telephone_number": "631-854-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERMELSTEIN",
        "first_name": "LINDA",
        "middle_name": "KLEITMAN",
        "credential": "MD, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "169891",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "G57908",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NY",
            "license": "169891",
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "G57908",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asad Ilyas, MS4
• Sara Klucsarits, M.A., CCC-SLP, TSSLD
• Lizia K Kye, PA-C
• Dawn E Lewis
• Aleah Patrica Marks, M.D.
• Judith L Miller
• Neighborhood Diabetes Ny
• Christine Nwaiser
• Brigette Obokhae, MD
• Jennifer Elaine Oconnor

• Public Health & General Preventive Medicine Physician in Great River, NY
• Providers in Great River, NY by specialty
• Public Health & General Preventive Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.