Individual provider Active NPI

Rolando Mario Melendez, DPM

  • Foot & Ankle Surgery Podiatrist
  • Woodside, NY
National Provider Identifier
1629393350
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
006581 Issued in NY
Practice address
5213 Roosevelt Ave FL 1
Woodside, NY 11377-8054
Phone
(347) 696-4113
Fax
(347) 696-4113
NPI assigned
Apr 6, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 006581 NY Primary
Podiatrist 213E00000X 006581 NY
Foot Surgery Podiatrist 213ES0131X 006581 NY
Primary Podiatric Medicine Podiatrist 213EP1101X 006581 NY

Addresses

Primary practice location

5213 Roosevelt Ave FL 1
Woodside, NY 11377-8054

Mailing address

5213 Roosevelt Ave
Woodside, NY 11377-8054
Phone (347) 696-4113

Other practice location 1

1551 Richmond Rd Ste 2B
Staten Island, NY 10304-2338
Phone (347) 696-4113

Other practice location 2

9317 Roosevelt Ave
Jackson Heights, NY 11372-7943
Phone (347) 696-4113

Other identifiers 1

IdentifierTypeStateIssuer
04072533MedicaidNY

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140623000475 NY Practitioner - Podiatry 1355582263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rolando M Melendez DPM PCGroup PAC ID 2062631781, 2 clinicians

Practice addresses (Care Compare)

9317 Roosevelt Ave
FL 1
Jackson Heights, NY 11372-7943
Phone (347) 696-4113

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions11
Removal of nail tissue217
Removal or shaving of skin growth165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006581NYMDPrimary Podiatric Medicine Podiatrist

Interoperability endpoints

  • Direct secure messaging: rmelendez@rmmdp-ny.direct.office.nextgen.com
  • Direct secure messaging: rmm9016@direct.nyp.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1629393350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5213 ROOSEVELT AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113778054",
            "telephone_number": "347-696-4113",
            "fax_number": "347-696-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5213 ROOSEVELT AVE FL 1",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113778054",
            "telephone_number": "347-696-4113",
            "fax_number": "347-696-4113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1551 Richmond Rd Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103042338",
            "country_code": "US",
            "telephone_number": "347-696-4113",
            "fax_number": "347-696-4113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9317 Roosevelt Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson Heights",
            "state": "NY",
            "postal_code": "113727943",
            "country_code": "US",
            "telephone_number": "347-696-4113",
            "fax_number": "347-696-4113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELENDEZ",
        "first_name": "ROLANDO",
        "middle_name": "MARIO",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006581",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "006581",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "006581",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "006581",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04072533",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

Verify at the official NPI Registry.