Active NPI
Melvin Kalmenson, O.D.
- Optometrist
- Brooklyn, NY
National Provider Identifier
1689671778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- VUT87415
- Practice address
- 453 Mother Gaston Blvd
Brooklyn, NY 11212-7617 - Phone
- (718) 342-2699
- NPI assigned
- Jul 5, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | VUT87415 | NY | Primary |
Addresses
Primary practice location
453 Mother Gaston Blvd
Brooklyn, NY 11212-7617
Mailing address
4 Maple Dr
Apt 3G
Great Neck, NY 11021-2001
Phone (516) 487-7179
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112327142 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| VUT87415 | NY | MD | Optometrist |
| 002726 | NY | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209513600000",
"number": "1689671778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 MAPLE DR",
"address_2": "APT 3G",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110212001",
"telephone_number": "516-487-7179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "453 MOTHER GASTON BLVD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112127617",
"telephone_number": "718-342-2699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALMENSON",
"first_name": "MELVIN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-05",
"last_updated": "2008-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "VUT87415",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112327142",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.