Active NPI
Melina Isabel Salazar, RN
- Registered Nurse
- New York, NY
National Provider Identifier
1619517471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 781645
- Practice address
- 110 E 107TH St
New York, NY 10029-3904 - Phone
- (212) 860-8400
- NPI assigned
- Jan 9, 2020
- Last updated
- Jan 9, 2020
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 781645 | NY | Primary |
Addresses
Primary practice location
110 E 107TH St
New York, NY 10029-3904
Mailing address
552 Marcy Ave Apt 3D
Brooklyn, NY 11206-5636
Phone (347) 661-3322
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 781645 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Shield of David, Inc. | Current | Accepting new patients |
Locations
110 E 107th St
New York, NY 10029
Phone (212) 860-8400
Organizations & group practices 1
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": "1578528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578528000000",
"number": "1619517471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "552 MARCY AVE APT 3D",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112065636",
"telephone_number": "347-661-3322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 E 107TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100293904",
"telephone_number": "212-860-8400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAZAR",
"first_name": "MELINA",
"middle_name": "ISABEL",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-09",
"last_updated": "2020-01-09",
"certification_date": "2020-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "781645",
"primary": true
}
],
"identifiers": [],
"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 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.