Individual provider Active NPI

Melanie S. Nevid, P.A.

  • Physician Assistant
  • Lower Gwynedd, PA
National Provider Identifier
1831521046
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
016749-1 Issued in NY
Practice address
904 Sumneytown Pike Ste 100
Lower Gwynedd, PA 19002-1321
Phone
(215) 542-0655
Fax
(215) 542-1448
NPI assigned
Jul 30, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 016749-1 NY Primary

Addresses

Primary practice location

904 Sumneytown Pike Ste 100
Lower Gwynedd, PA 19002-1321

Mailing address

904 Sumneytown Pike Ste 100
Lower Gwynedd, PA 19002-1321
Phone (215) 542-0655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140227000313 NY Practitioner - Physician Assistant 4486884087 Reassigns benefits to 1 organization
I20230509000022 PA Practitioner - Physician Assistant 4486884087 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
016749-1NYMDClinical Psychologist
016749NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bobby Buka, M.D., P.C. CurrentSince Apr 2, 2019 Accepting new patients
Derm Specs of PA PLLC PastSince Feb 25, 2024 Accepting new patients
Modern Family Health NP PLLC PastSince Jul 13, 2025 Accepting new patients

Locations

1027 46th Ave
Fl 1
Long Island City, NY 11101

214 Sullivan St
New York, NY 10012

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BFCDAA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1831521046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 SUMNEYTOWN PIKE STE 100",
            "city": "LOWER GWYNEDD",
            "state": "PA",
            "postal_code": "190021321",
            "telephone_number": "215-542-0655",
            "fax_number": "215-542-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 SUMNEYTOWN PIKE STE 100",
            "city": "LOWER GWYNEDD",
            "state": "PA",
            "postal_code": "190021321",
            "telephone_number": "215-542-0655",
            "fax_number": "215-542-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVID",
        "first_name": "MELANIE",
        "middle_name": "S.",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "016749-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lower Gwynedd, PA

Sources for this page

Verify at the official NPI Registry.