Organization Active NPI

Myphysician, P.C.

  • Specialist
  • Nashua, NH
National Provider Identifier
1891890422
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
10367 Issued in NH
Legal business name
MYPHYSICIAN, P.C.
Practice address
5 Coliseum Ave
Suite 306-307
Nashua, NH 03063-3206
Phone
(603) 577-9090
Fax
(603) 577-8976
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Yair Dror Melamed, M.D.
Title
President
Phone
(603) 577-9090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 10367 NH Primary

Addresses

Primary practice location

5 Coliseum Ave
Suite 306-307
Nashua, NH 03063-3206

Mailing address

5 Coliseum Ave
Suite 306-307
Nashua, NH 03063-3206
Phone (603) 577-9090

Other identifiers 1

IdentifierTypeStateIssuer
3131076MedicaidMA

National Provider Directory

National Provider Directory

Locations

5 Coliseum Ave
Ste 306
Nashua, NH 03063
Phone (603) 577-9090

5 Coliseum Ave
Ste 306307
Nashua, NH 03063
Phone (603) 577-9090

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1891890422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 COLISEUM AVE",
            "address_2": "SUITE 306-307",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030633206",
            "telephone_number": "603-577-9090",
            "fax_number": "603-577-8976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 COLISEUM AVE",
            "address_2": "SUITE 306-307",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030633206",
            "telephone_number": "603-577-9090",
            "fax_number": "603-577-8976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYPHYSICIAN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MELAMED",
        "authorized_official_first_name": "YAIR",
        "authorized_official_middle_name": "DROR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "603-577-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NH",
            "license": "10367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3131076",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.