Active NPI
Melanie S. Nevid, P.A.
- Physician Assistant
- Lower Gwynedd, PA
National Provider Identifier
1831521046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 016749-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 016749-1 | NY | MD | Clinical Psychologist |
| 016749 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bobby Buka, M.D., P.C. | Current | Accepting new patients | |
| Derm Specs of PA PLLC | Past | Accepting new patients | |
| Modern Family Health NP PLLC | Past | Accepting new patients |
Locations
1027 46th Ave
Fl 1
Long Island City, NY 11101
214 Sullivan St
New York, NY 10012
Interoperability endpoints
- 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.
-
- Dermatology Physician
- Philadelphia, PA
- NPI 1528823507
-
- Multi-Specialty Clinic/Center
- Staten Island, NY
- NPI 1346131257
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.