Individual provider Active NPI

Melissa Duperval, D.O.

  • Obstetrics & Gynecology Physician
  • New York, NY
National Provider Identifier
1588974729
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
255182 Issued in NY
Practice address
993 Park Ave
New York, NY 10028-0809
Phone
(212) 744-6700
Fax
(212) 744-6799
NPI assigned
Oct 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 255182 NY Primary

Addresses

Primary practice location

993 Park Ave
New York, NY 10028-0809

Mailing address

993 Park Ave
New York, NY 10028-0809
Phone (212) 744-6700

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
I20110620000264 NY Practitioner - Obstetrics/Gynecology 8022296110 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rowan University School of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Manhattan Womens Health, an OB/GYN P.C.Group PAC ID 8022166149, 2 clinicians

Practice addresses (Care Compare)

21 Murray St
New York, NY 10007-2239
Phone (646) 701-0021

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
255182NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Manhatten Womens Health, an OB/GYN P.C. Obstetrics & Gynecology CurrentSince Sep 19, 2017 Accepting new patients

Networks

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

Interoperability endpoints

  • Direct secure messaging: mduperval67289@northwell.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1588974729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "993 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280809",
            "telephone_number": "212-744-6700",
            "fax_number": "212-744-6799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280809",
            "telephone_number": "212-744-6700",
            "fax_number": "212-744-6799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPERVAL",
        "first_name": "MELISSA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "255182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.