Melanie Fernandi, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

3507-1 Issued in NY

Practice address

1395 Lexington Ave
Mezzanine Level
New York, NY 10128-1612

Phone

(646) 707-0400

Fax

(646) 707-0380

NPI assigned

Dec 13, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Back to Sports Physical Therapy, P.C.

  • Physical Therapist
  • New York, NY
  • NPI 1952414567
  NPD (past)

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386892800000",
    "number": "1689095853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 E 102ND ST",
            "address_2": "APT D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100295713",
            "telephone_number": "917-399-7397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 LEXINGTON AVE",
            "address_2": "MEZZANINE LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281612",
            "telephone_number": "646-707-0400",
            "fax_number": "646-707-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDI",
        "first_name": "MELANIE",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "3507-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE OF THE PROFESSIONS, LICENSED ACUPUNCTURIST",
            "identifier": "3507-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yesbel M Fernandez, RN
• Yohansa Fernandez
• Zarah Bautista Fernandez, M.D.
• Zulay Fernandez, CNP
• Selina Yumi Fernandezdelara, PA-C
• Fernando Taveras, MD PC
• Anusha Rosanne Fernando, MD
• Christopher Clarence Fernando, MBCHB
• Kristine Fernando
• Jeanne M Fernekees-Boylan, LCSW

• Acupuncturist in New York, NY
• Providers in New York, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.