Individual provider Active NPI

Kyle Mele, MD

  • Pain Medicine (Anesthesiology) Physician
  • Staten Island, NY
National Provider Identifier
1801355094
Registry record updated Oct 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
331291 Issued in NY
Practice address
4236 Hylan Blvd
Staten Island, NY 10312-6540
Phone
(917) 920-3006
Fax
(531) 200-0034
NPI assigned
Mar 18, 2019
Last updated
Oct 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 25MA12449700 NJ
Pain Medicine (Anesthesiology) Physician 207LP2900X 331291 NY Primary

Addresses

Primary practice location

4236 Hylan Blvd
Staten Island, NY 10312-6540

Mailing address

576 Valley Rd Ste 233
Wayne, NJ 07470-3526
Phone (862) 225-6867

Other practice location 1

405 Northfield Ave Ste 204
West Orange, NJ 07052-3023
Phone (973) 500-6768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240923001833 NY Practitioner - Anesthesiology 7113251968 Reassigns benefits to 2 organizations
I20250214002819 NJ Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 7113251968 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North East Anesthesia and Pain Associates LLCGroup PAC ID 6305093469, 7 clinicians
Pain Doctors of America PLLCGroup PAC ID 9830431006, 6 clinicians

Practice addresses (Care Compare)

1700 Route 3 W
FL 2
Clifton, NJ 07013-3928
Phone (908) 904-1900

405 Northfield Ave
Suite 204
West Orange, NJ 07052-3023
Phone (862) 225-6867

4236 Hylan Blvd
Staten Island, NY 10312-6540
Phone (917) 920-3006

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North East Anesthesia & Pain Associates LLC CurrentSince Oct 8, 2024 Accepting new patients
Montefiore Medical Center Anesthesiology CurrentSince Jul 26, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Jul 26, 2024 Accepting new patients
Teammd Anesthesia LLC Anesthesiology CurrentSince Feb 9, 2025 Accepting new patients
Pain Doctors of America PLLC Interventional Pain Medicine CurrentSince Jan 1, 2026 Accepting new patients

Locations

1700 Route 3
Fl 2
Clifton, NJ 07013
Phone (908) 904-1900

70 Hudson St
Lowr
Hoboken, NJ 07030

576 Valley Rd
Wayne, NJ 07470
Phone (646) 853-1120

405 Northfield Ave
Ste 204
West Orange, NJ 07052
Phone (201) 325-6120

1167 McBride Ave
Fl 2
Woodland Park, NJ 07424
Phone (908) 904-1900

111 E 210th St
Bronx, NY 10467

188 Montague St
Fl 10
Brooklyn, NY 11201
Phone (631) 450-3772

156 William St
Rm 302
New York, NY 10038
Phone (212) 518-4562

290 Madison Ave
New York, NY 10017
Phone (973) 826-2636

4236 Hylan Blvd
Staten Island, NY 10312
Phone 71881665001003

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791763200000",
    "number": "1801355094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 VALLEY RD STE 233",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703526",
            "telephone_number": "862-225-6867",
            "fax_number": "201-377-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4236 HYLAN BLVD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126540",
            "telephone_number": "917-920-3006",
            "fax_number": "531-200-0034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Northfield Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "West Orange",
            "state": "NJ",
            "postal_code": "070523023",
            "country_code": "US",
            "telephone_number": "973-500-6768",
            "fax_number": "620-679-1997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELE",
        "first_name": "KYLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2026-10-12",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA12449700",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "331291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.