Individual provider Active NPI

Melissa Vignona, FNP

  • Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1619440989
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0424439 Issued in NY
Practice address
762 59TH St
Brooklyn, NY 11220-3936
Phone
(800) 750-8616
NPI assigned
Jan 9, 2019
Last updated
Jan 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0424439 NY Primary

Addresses

Primary practice location

762 59TH St
Brooklyn, NY 11220-3936

Mailing address

26 Firemens Memorial Dr Ste 115
Pomona, NY 10970-3569
Phone (845) 362-8400

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190301001190 NY Practitioner - Nurse Practitioner 6103165501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York Downstate Medical Center, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Israel Schur MD PLLCGroup PAC ID 4082960687, 12 clinicians

Practice addresses (Care Compare)

505 E 116 St
2ND Floor
New York, NY 10029-1776
Phone (646) 362-3178

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0424439NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Medical Associates PLLC CurrentSince Aug 28, 2025 Accepting new patients
Noam Spinowitz MD PLLC PastSince Jun 1, 2022 Accepting new patients
Ny Endovascular Center LLC PastSince Jan 17, 2021 Accepting new patients
Advanced Pain Management Specialists, LLC Nurse Practitioner Past Accepting new patients

Locations

1733 Eastchester Rd
Fl 2
Bronx, NY 10461
Phone (347) 227-0790

1733 Eastchester Rd
Ste 3
Bronx, NY 10461
Phone (718) 409-2007

3030 Northern Blvd
Ste 501
Long Island City, NY 11101
Phone (718) 395-6247

Networks

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

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": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1619440989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 FIREMENS MEMORIAL DR STE 115",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109703569",
            "telephone_number": "845-362-8400",
            "fax_number": "845-362-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 59TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203936",
            "telephone_number": "800-750-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGNONA",
        "first_name": "MELISSA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "0424439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.