Active NPI
Melissa Vignona, FNP
- Nurse Practitioner
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 0424439
- Practice address
- 762 59TH St
Brooklyn, NY 11220-3936 - Phone
- (800) 750-8616
- NPI assigned
- Jan 9, 2019
- Last updated
- Jan 9, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0424439 | NY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidney Medical Associates PLLC | Current | Accepting new patients | |
| Noam Spinowitz MD PLLC | Past | Accepting new patients | |
| Ny Endovascular Center LLC | Past | 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.
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dba Clearway Pain Solutions
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Nurse Practitioner
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.