Active NPI
Melissa Ines Ungeheuer, D.O.
- Pediatrics Physician
- Clifton Park, NY
National Provider Identifier
1689835894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 261536
- Practice address
- 532 Moe Rd
Clifton Park, NY 12065-3822 - Phone
- (518) 383-2425
- Fax
- (518) 383-3255
- NPI assigned
- Jun 19, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 261536 | NY | Primary |
Addresses
Primary practice location
532 Moe Rd
Clifton Park, NY 12065-3822
Mailing address
532 Moe Rd
Clifton Park, NY 12065-3822
Phone (518) 383-2425
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 261536 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Children's Health Physicians, LLP | Pediatrics | Current | Accepting new patients |
| Boston Childrens Health Physicians LLP | Current | Accepting new patients | |
| Island Medical Empire State, PLLC | Past | Accepting new patients | |
| Hudson Mohawk Pediatrics | Past | Accepting new patients |
Locations
532 Moe Rd
Clifton Park, NY 12065
Phone (518) 243-3322
19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235
400 Columbus Ave
Ste 200E
Valhalla, NY 10595
Phone (314) 400-4416
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- melissa.ungeheuer.p1@direct.cwpw.nextgenshare.com
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Hawthorne, NY
- NPI 1467454967
-
dba Boston Childrens Health Physicians Pediatric Endocrinology Division
- Clinical Medical Laboratory
- Sleepy Hollow, NY
- NPI 1588651079
-
- Children's Hospital
- Ballston Lake, NY
- NPI 1225393986
-
- Emergency Medicine Physician
- Oneonta, NY
- NPI 1053623041
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743638400000",
"number": "1689835894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532 MOE RD",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120653822",
"telephone_number": "518-383-2425",
"fax_number": "518-383-3255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "532 MOE RD",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120653822",
"telephone_number": "518-383-2425",
"fax_number": "518-383-3255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNGEHEUER",
"first_name": "MELISSA",
"middle_name": "INES",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-19",
"last_updated": "2025-04-03",
"certification_date": "2025-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "261536",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clifton Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.