Melanie Alyse Watman, MD, MPH

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

73310 Issued in CT

Practice address

1171 E Putnam Ave Ste 2B
Riverside, CT 06878-1426

Phone

(718) 250-6604

Fax

(203) 629-7960

NPI assigned

Mar 28, 2019

Last updated

Jan 26, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11000/brand/1/csg/1/fhir/r4
• Direct secure messaging: melanie.watman.1@11000.direct.athenahealth.com
• Direct secure messaging: mwatman17554@prd.direct.tbh.org

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.

• Riverside Pediatrics LLP

  dba Riverside Pediatrics

  • Pediatrics Physician
  • Greenwich, CT
  • NPI 1104963966
  NPD (past)

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737849600000",
    "number": "1851852149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1171 E PUTNAM AVE STE 2B",
            "city": "RIVERSIDE",
            "state": "CT",
            "postal_code": "068781426",
            "telephone_number": "203-629-5800",
            "fax_number": "203-629-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1171 E PUTNAM AVE STE 2B",
            "city": "RIVERSIDE",
            "state": "CT",
            "postal_code": "068781426",
            "telephone_number": "718-250-6604",
            "fax_number": "203-629-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATMAN",
        "first_name": "MELANIE",
        "middle_name": "ALYSE",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2025-01-26",
        "certification_date": "2025-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "318100",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "73310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Vai, RPT
• Bozena Valencic, PHRAM D.
• Zena Vatman, FNP
• Walgreen Co (Walgreens #06757)
• Walgreens Pharmacy
• Jeffrey H Weinberger, MD
• Nicole Lee Williamson, APRN, FNP
• Donielle K Wilson, ND
• Michelle Wong, PHARM.D
• Robert Arthur Woodbury, MD

• Pediatrics Physician in Riverside, CT
• Providers in Riverside, CT by specialty
• Pediatrics Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.