Individual provider Active NPI

Melissa Alexis Dundas, M.D.

  • Pediatric Adolescent Medicine Physician
  • New York, NY
National Provider Identifier
1770965691
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
296131 Issued in NY
Practice address
150 E 32ND St FL 2
New York, NY 10016-6058
Phone
(212) 263-5940
Fax
(212) 263-5808
NPI assigned
Jun 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 296131 NY Primary

Addresses

Primary practice location

150 E 32ND St FL 2
New York, NY 10016-6058

Mailing address

150 E 32ND St FL 2
New York, NY 10016-6058
Phone (212) 263-5940

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210625000306 NY Practitioner - Pediatric Medicine 9234481110 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Aug 1, 2021 Accepting new patients
New York University CurrentSince Aug 1, 2021 Accepting new patients

Locations

150 E 32nd St
New York, NY 10016
Phone (212) 263-8610

150 E 32nd St
Fl 2
New York, NY 10016
Phone (646) 825-6300

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: mdundas464770@nyumc.direct-ci.com
  • Direct secure messaging: mdundas1693823@nychhc.direct-ci.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.

NPI Registry JSON

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

{
    "created_epoch": "1435363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1770965691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E 32ND ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166058",
            "telephone_number": "212-263-5940",
            "fax_number": "212-263-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E 32ND ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166058",
            "telephone_number": "212-263-5940",
            "fax_number": "212-263-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNDAS",
        "first_name": "MELISSA",
        "middle_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-27",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "296131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.