Active NPI
Melissa Tam, FNP
- Family Nurse Practitioner
- Larchmont, NY
National Provider Identifier
1891178919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 340291
- Practice address
- 2005 Palmer Ave # 1180
Larchmont, NY 10538-2437 - Phone
- (929) 371-6331
- Fax
- (314) 293-6746
- NPI assigned
- Jul 7, 2015
- Last updated
- Jul 30, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 340291 | NY | Primary |
| Registered Nurse | 163W00000X | 689655-1 | NY |
Addresses
Primary practice location
2005 Palmer Ave # 1180
Larchmont, NY 10538-2437
Mailing address
2005 Palmer Ave # 1180
Larchmont, NY 10538-2437
Phone (929) 371-6331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04398243 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 689655-1 | NY | MD | Registered Nurse |
| 340291 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cloud Health Medical Group of New Jersey, P.C. | Past | Accepting new patients | |
| Cloud Health Medical Group of California, P.C. | Past | Accepting new patients | |
| Cloud Health Medical Group, P.a. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1194404327
-
- Internal Medicine Physician
- Union City, NJ
- NPI 1043995467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785369600000",
"number": "1891178919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2005 PALMER AVE # 1180",
"city": "LARCHMONT",
"state": "NY",
"postal_code": "105382437",
"telephone_number": "929-371-6331",
"fax_number": "314-293-6746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 PALMER AVE # 1180",
"city": "LARCHMONT",
"state": "NY",
"postal_code": "105382437",
"telephone_number": "929-371-6331",
"fax_number": "314-293-6746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAM",
"first_name": "MELISSA",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-07",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "340291",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "689655-1",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04398243",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Larchmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.