Active NPI
Melissa Madalone, N.P.
- Psychiatric/Mental Health Nurse Practitioner
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 402830
- Practice address
- 2315 Victory Blvd
Staten Island, NY 10314-6623 - Phone
- (718) 477-6900
- NPI assigned
- May 21, 2009
- Last updated
- Jul 13, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 305136 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 402830 | NY | Primary |
Addresses
Primary practice location
2315 Victory Blvd
Staten Island, NY 10314-6623
Mailing address
2315 Victory Blvd
Staten Island, NY 10314-6623
Phone (718) 477-6900
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
198 Willowbrook Rd
Staten Island, NY 10302-2447
Phone (718) 687-2987
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valera Medical, P.C. | Psychiatric/Mental Health | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Tela-NP in Adult Health and Psychiatric Services PC | Adult Health | Current | Accepting new patients |
| Telanp Online Inc | Current | Accepting new patients |
Locations
134 N 4th St
Brooklyn, NY 11249
2315 Victory Blvd
Staten Island, NY 10314
Phone (718) 477-6900
4982 Hylan Blvd
Staten Island, NY 10312
Phone (718) 477-6900
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric/Mental Health Nurse Practitioner
- Staten Island, NY
- NPI 1831733120
Adult Health
-
dba Mt Sinai Doctors Si-Victory Int Med
- Internal Medicine Physician
- Staten Island, NY
- NPI 1447640024
-
- Nurse Practitioner
- Staten Island, NY
- NPI 1922579879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594598400000",
"number": "1720213606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2315 VICTORY BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103146623",
"telephone_number": "718-477-6900",
"fax_number": "718-477-7862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2315 VICTORY BLVD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103146623",
"telephone_number": "718-477-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADALONE",
"first_name": "MELISSA",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-21",
"last_updated": "2020-07-13",
"certification_date": "2020-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "305136",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "402830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.