Active NPI
Nonglin Mel, M.D.
- Family Medicine Physician
- Jamaica, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 332221
- Practice address
- 16121 Jamaica Ave Ste 7
Jamaica, NY 11432-6113 - Phone
- (929) 421-4630
- Fax
- (347) 532-2328
- NPI assigned
- Jun 15, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 332221 | NY | Primary |
| Family Medicine Physician | 207Q00000X | 83530 | GA |
Addresses
Primary practice location
16121 Jamaica Ave Ste 7
Jamaica, NY 11432-6113
Mailing address
6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107089900 | Medicaid | FL |
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
16121 Jamaica Ave
FL 7
Jamaica, NY 11432-6113
Phone (929) 421-4630
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83530 | GA | MD | Family Medicine Physician |
| 332221 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MVP Medical Practice PC | Current | Accepting new patients | |
| Ajs Brooklyn Medical Practice PC | Current | Accepting new patients |
Locations
6255 W Sunset Blvd
Fl 21
Los Angeles, CA 90028
Phone (323) 860-5200
8390 Champions Gate Blvd
Ste 220
Champions Gate, FL 33896
Phone (407) 479-2015
1600 Central Ave
Fl 3
Far Rockaway, NY 11691
Phone (718) 868-8645
9130 Van Wyck Expy
Jamaica, NY 11418
Phone (929) 421-4620
16121 Jamaica Ave
Fl 7
Jamaica, NY 11432
Phone (718) 896-2500
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- nonglin.mel.1@26356.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Infectious Disease Physician
- Brooklyn, NY
- NPI 1912541061
-
- Clinic/Center
- Brooklyn, NY
- NPI 1558707299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763424000000",
"number": "1760619993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6255 W SUNSET BLVD FL 21",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900287422",
"telephone_number": "323-860-5200",
"fax_number": "323-467-7119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16121 JAMAICA AVE STE 7",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114326113",
"telephone_number": "929-421-4630",
"fax_number": "347-532-2328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEL",
"first_name": "NONGLIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-15",
"last_updated": "2025-11-18",
"certification_date": "2025-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "332221",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "83530",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "107089900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.
- 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.