Individual provider Active NPI

Viji Joseph Meledath, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Westbury, NY
National Provider Identifier
1669962791
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
402453 Issued in NY
Practice address
38 Fawn LN
Westbury, NY 11590
Phone
(516) 680-3221
NPI assigned
May 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 402453 NY Primary

Addresses

Primary practice location

38 Fawn LN
Westbury, NY 11590

Mailing address

38 Fawn LN
Westbury, NY 11590-6528
Phone (516) 680-3221

Other practice location 1

7558 113th St
Forest Hills, NY 11375-2204
Phone (718) 268-9595

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190204001137 NY Practitioner - Nurse Practitioner 4688911332 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Stony Brook, School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

418 Broadway
Albany, NY 12207-2922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
402453NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Sep 18, 2019 Accepting new patients
Harmony Health Care Long Island Current Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Jul 14, 2019 Accepting new patients
Queens Nassau Psychiatric Services PLLC CurrentSince Oct 1, 2024 Accepting new patients
Harmony Health Care Long Island CurrentSince Dec 30, 2022 Accepting new patients
Harmony Health Care Long Island CurrentSince Dec 30, 2022 Accepting new patients
VJM NP in Psychiatry PLLC Psychiatric/Mental Health CurrentSince Feb 24, 2024 Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Jul 14, 2019 Accepting new patients
Forest Hills Psychiatric Services, P.C PastSince Oct 1, 2024 Accepting new patients

Locations

418 Broadway
Ste 5595
Albany, NY 12207
Phone (518) 396-5569

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

7901 Broadway
Flushing, NY 11373
Phone (718) 334-2156

199 Community Dr
Great Neck, NY 11021
Phone (516) 216-4108

135 Main St
Hempstead, NY 11550
Phone (516) 292-3111

8268 164th St
Jamaica, NY 11432
Phone (718) 883-2929

1554 Northern Blvd
Fl 1
Manhasset, NY 11030
Phone (516) 472-5800

50 Water St
Fl 3
New York, NY 10004

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

300 Community Dr
Plandome, NY 11030

380 Nassau Rd
Roosevelt, NY 11575
Phone (516) 571-8200

682 Union Ave
Westbury, NY 11590
Phone (516) 571-9500

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: vijimeledath@nslijmedgr.allscriptsdirect.net

Organizations & group practices 11

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": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1669962791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 FAWN LN",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115906528",
            "telephone_number": "516-680-3221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 FAWN LN",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "11590",
            "telephone_number": "516-680-3221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7558 113th St",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113752204",
            "country_code": "US",
            "telephone_number": "718-268-9595",
            "fax_number": "718-268-9528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELEDATH",
        "first_name": "VIJI",
        "middle_name": "JOSEPH",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-15",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "402453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbury, NY

Sources for this page

Verify at the official NPI Registry.