Active NPI
Chesapeake Neurology Services, P.a.
- Neurology Physician
- Elkton, MD
National Provider Identifier
1679528038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- CHESAPEAKE NEUROLOGY SERVICES, P.A.
- Practice address
- 111 W High St
Suite 107
Elkton, MD 21921-5529 - Phone
- (410) 392-7044
- Fax
- (410) 620-0055
- NPI assigned
- May 24, 2006
- Last updated
- Jul 29, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Paul Melnick, M.D.
- Title
- Physician
- Phone
- (410) 392-7044
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | NU | Primary |
Addresses
Primary practice location
111 W High St
Suite 107
Elkton, MD 21921-5529
Mailing address
1602 Newport Gap Pike
Wilmington, DE 19808-6208
Phone (302) 633-5840
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA4922 | Other | MD | MEDICARE RR |
| 1000021421 | Medicaid | DE | |
| 406618900 | Medicaid | MD | |
| # 1M53CH | Other | MD | CAREFIRST GROUP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DE
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1595980800000",
"number": "1679528038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1602 NEWPORT GAP PIKE",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198086208",
"telephone_number": "302-633-5840",
"fax_number": "302-633-5844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W HIGH ST",
"address_2": "SUITE 107",
"city": "ELKTON",
"state": "MD",
"postal_code": "219215529",
"telephone_number": "410-392-7044",
"fax_number": "410-620-0055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHESAPEAKE NEUROLOGY SERVICES, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-24",
"last_updated": "2020-07-29",
"certification_date": "2020-07-29",
"status": "A",
"authorized_official_last_name": "MELNICK",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "410-392-7044",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "DA4922",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000021421",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "406618900",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST GROUP NUMBER",
"identifier": "# 1M53CH",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elkton, MD
- Cheapeake Behavioral Health PA
- Cherian & Ganta Dental Associates, LLC (Delmarva Center for Dental Excellence)
- Chesapeake Bay Surgery Center, LLC
- Chesapeake Bone and Joint Center, LLC
- Chesapeake ENT/Plastic Facial Surgery
- Chesapeake Surgical Services, LLC
- Chesapeake Urology Associates P.a.
- Chesapeake Urology Associates PA
- Chesapeake Wellness Center
- Chesapeake Wellness Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.