Individual provider Active NPI

Andrew Seth Melinger, D.M.D.

  • Endodontics
  • New York, NY
National Provider Identifier
1801930391
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
34119 Issued in NY
Practice address
1414 Avenue of the Americas
19TH Floor
New York, NY 10019-2514
Phone
(212) 832-1414
Fax
(212) 832-2412
NPI assigned
Feb 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 34119 NY Primary

Addresses

Primary practice location

1414 Avenue of the Americas
19TH Floor
New York, NY 10019-2514

Mailing address

1414 Avenue of the Americas
19TH Floor
New York, NY 10019-2514
Phone (212) 832-1414

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150611002544 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6305167677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34119NYMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801930391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 AVENUE OF THE AMERICAS",
            "address_2": "19TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192514",
            "telephone_number": "212-832-1414",
            "fax_number": "212-832-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 AVENUE OF THE AMERICAS",
            "address_2": "19TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192514",
            "telephone_number": "212-832-1414",
            "fax_number": "212-832-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELINGER",
        "first_name": "ANDREW",
        "middle_name": "SETH",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "34119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.