Individual provider Active NPI

Melina Shabani, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • White Plains, NY
National Provider Identifier
1902106347
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
317152 Issued in NY
Practice address
210 Westchester Ave
White Plains, NY 10604-2901
Phone
(914) 831-6813
Fax
(914) 831-6869
NPI assigned
Nov 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 25MA12032800 NJ
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 317152 NY Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X Q4690 TX
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD452944 PA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 293889 CA

Addresses

Primary practice location

210 Westchester Ave
White Plains, NY 10604-2901

Mailing address

1345 Avenue of the Americas FL 8
New York, NY 10105-0018
Phone (908) 588-3635

Other practice location 1

1225 McBride Ave
Woodland Park, NJ 07424-3812
Phone (908) 277-8699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, CT3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240314003856 NY Practitioner - Pathology 9739498338 Reassigns benefits to 2 organizations
I20240318000395 NJ Practitioner - Pathology 9739498338 Reassigns benefits to 1 organization
I20240910001823 CT Practitioner - Pathology 9739498338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians
Westchester Medical Group, P.CGroup PAC ID 6406752963, 410 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

210 Westchester Ave
White Plains, NY 10604-2901
Phone (914) 682-0700

5 Perryridge Rd
Greenwich, CT 06830-4608
Phone (203) 863-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
293889CAMDAnatomic Pathology & Clinical Pathology Physician
25MA12032800NJMDAnatomic Pathology & Clinical Pathology Physician
317152NYMDAnatomic Pathology & Clinical Pathology Physician
MD452944PAMDAnatomic Pathology & Clinical Pathology Physician
Q4690TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City Medical of Upper East Side, PLLC CurrentSince Feb 19, 2024 Accepting new patients
Westchester Medical Group, P.C. CurrentSince Aug 15, 2024 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Feb 19, 2024 Accepting new patients
Summit Medical Group PA CurrentSince Feb 19, 2024 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients
The Westchester Medical Group PC CurrentSince Aug 15, 2024 Accepting new patients
Summit Medical Group PA CurrentSince Feb 19, 2024 Accepting new patients

Locations

5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

150 Floral Ave
New Providence, NJ 07974
Phone (908) 588-3890

1225 McBride Ave
Woodland Park, NJ 07424
Phone (908) 277-8699

2248 31st St
Astoria, NY 11105
Phone (718) 267-1333

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

1345 Avenue of the Americas
Fl 8
New York, NY 10105
Phone (212) 913-0828

210 Westchester Ave
White Plains, NY 10604
Phone (914) 681-3100

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: melina.shabani.1@21260.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1902106347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 AVENUE OF THE AMERICAS FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101050018",
            "telephone_number": "908-588-3635",
            "fax_number": "908-934-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WESTCHESTER AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106042901",
            "telephone_number": "914-831-6813",
            "fax_number": "914-831-6869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 McBride Ave",
            "address_purpose": "LOCATION",
            "city": "Woodland Park",
            "state": "NJ",
            "postal_code": "074243812",
            "country_code": "US",
            "telephone_number": "908-277-8699",
            "fax_number": "908-673-7388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHABANI",
        "first_name": "MELINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-02",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NJ",
            "license": "25MA12032800",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NY",
            "license": "317152",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "Q4690",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PA",
            "license": "MD452944",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "293889",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.