Individual provider Active NPI

Melinda Jimenez, PA-C

  • Physician Assistant
  • New York, NY
National Provider Identifier
1588934814
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
017126 Issued in NY
Practice address
240 E Greenwich St
New York, NY 10007-2470
Phone
(212) 815-4910
Fax
(212) 815-3352
NPI assigned
Jan 3, 2012
Last updated
Jan 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 017126 NY Primary
Medical Physician Assistant 363AM0700X PA9106303 FL

Addresses

Primary practice location

240 E Greenwich St
New York, NY 10007-2470

Mailing address

240 E Greenwich St
New York, NY 10007-2470
Phone (212) 815-4910

Other identifiers 1

IdentifierTypeStateIssuer
004717100MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
017126NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Premise Health of New York Medical, P.C Past Accepting new patients
St Vincents Ambulatory Care Inc Past Accepting new patients
St Vincents Physician Enterprise Inc Past Accepting new patients
First Coast Primary Care Inc Past Accepting new patients
Eden Health Medical PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: melinda.jimenez.1@30297.direct.athenahealth.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, 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": "1325548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1588934814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 E GREENWICH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100072470",
            "telephone_number": "212-815-4910",
            "fax_number": "212-815-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 E GREENWICH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100072470",
            "telephone_number": "212-815-4910",
            "fax_number": "212-815-3352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "MELINDA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-03",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "017126",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9106303",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004717100",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.