Active NPI
Melanie Fox, DDS
- Dentist
- Deer Park, NY
National Provider Identifier
1881963510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 049046-1
- Practice address
- 2050 Deer Park Ave
Deer Park, NY 11729-2128 - Phone
- (631) 586-2600
- NPI assigned
- Dec 27, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 049046-1 | NY | Primary |
Addresses
Primary practice location
2050 Deer Park Ave
Deer Park, NY 11729-2128
Mailing address
58 Oxford Rd
Rockville Centre, NY 11570-2125
Phone (516) 702-3964
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 049046-1 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324944000000",
"number": "1881963510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 OXFORD RD",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115702125",
"telephone_number": "516-702-3964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 DEER PARK AVE",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117292128",
"telephone_number": "631-586-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOX",
"first_name": "MELANIE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-27",
"last_updated": "2011-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "049046-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deer Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.