John M Mellody, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

25MT00096300 Issued in NJ

Practice address

1 Jets Dr
New York Jets, LLC
Florham Park, NJ 07932-1215

Phone

(973) 549-4701

Fax

(973) 549-4708

NPI assigned

Feb 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358985600000",
    "number": "1699741892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JETS DR",
            "address_2": "NEW YORK JETS, LLC",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321215",
            "telephone_number": "973-549-4701",
            "fax_number": "973-549-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JETS DR",
            "address_2": "NEW YORK JETS, LLC",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321215",
            "telephone_number": "973-549-4701",
            "fax_number": "973-549-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELLODY",
        "first_name": "JOHN",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2013-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "000705-1",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00096300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren McGarry, PT
• Mary Margaret McGue
• Stephen McKenzie, PA
• John McKeon, M.D.
• Michael Joseph Mehnert, M.D.
• Erica Meltzer, OTR
• Sara M Mendez Emma, LCSW
• Joyce Marie Mermini, LCSW
• Metro Ny DBT Center
• Emma Paulette Clarice Meyer, DO

• Athletic Trainer in Florham Park, NJ
• Providers in Florham Park, NJ by specialty
• Athletic Trainer in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.