Individual provider Active NPI

Jose Meller, MD

  • Cardiovascular Disease Physician
  • New York, NY
National Provider Identifier
1629092259
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
115934 Issued in NY
Practice address
35 E 85TH St Ofc 2
New York, NY 10028-0962
Phone
(212) 988-3772
Fax
(212) 861-4672
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 115934 NY
Cardiovascular Disease Physician 207RC0000X 115934 NY Primary

Addresses

Primary practice location

35 E 85TH St Ofc 2
New York, NY 10028-0962

Mailing address

35 E 85TH St Ofc 2
New York, NY 10028-0962
Phone (212) 988-3772

Other identifiers 1

IdentifierTypeStateIssuer
P00267723OtherRAILROAD MEDICARE

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
I20041005001321 NY Practitioner - Cardiovascular Disease (Cardiology) 1052370020 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Friedman MD and Meller MD PCGroup PAC ID 7416933551, 3 clinicians

Practice addresses (Care Compare)

35 E 85 St
New York, NY 10028-0954
Phone 21298837722

941 Park Ave
New York, NY 10028-0318

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Cardiovascular Disease CurrentSince Aug 1, 2012 Accepting new patients
Friedman MD and Meller MD PC Internal Medicine CurrentSince Jun 5, 1991 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 1, 2012 Accepting new patients

Locations

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

35 E 85th St
Ofc 2
New York, NY 10028
Phone (212) 988-3772

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1629092259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 E 85TH ST OFC 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280962",
            "telephone_number": "212-988-3772",
            "fax_number": "212-861-4672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 E 85TH ST OFC 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280962",
            "telephone_number": "212-988-3772",
            "fax_number": "212-861-4672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLER",
        "first_name": "JOSE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "115934",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "115934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00267723",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.