Organization Active NPI

Mel Lederman, MD

  • Specialist
  • Pomona, NY
National Provider Identifier
1669888954
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD 125569 Issued in NY
Legal business name
MEL LEDERMAN, MD
Practice address
111 Overlook Rd
Pomona, NY 10970-2118
Phone
(845) 406-3894
NPI assigned
Jul 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Authorized official

Name
Dr. Mel Lederman, MDNPI 1508005919
Title
Physician
Phone
(845) 406-3894

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD 125569 NY Primary

Addresses

Primary practice location

111 Overlook Rd
Pomona, NY 10970-2118

Mailing address

111 Overlook Rd
Pomona, NY 10970-2118
Phone (845) 406-3894

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1669888954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 OVERLOOK RD",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109702118",
            "telephone_number": "845-406-3894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 OVERLOOK RD",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109702118",
            "telephone_number": "845-406-3894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEL LEDERMAN, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "LEDERMAN",
        "authorized_official_first_name": "MEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "845-406-3894",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "MD 125569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.