Organization Active NPI

Rolando M. Melendez DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Woodside, NY
National Provider Identifier
1902229693
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
006580 Issued in NY
Legal business name
ROLANDO M. MELENDEZ DPM PC
Practice address
5213 Roosevelt Ave FL 1
Woodside, NY 11377-8054
Phone
(347) 696-4113
Fax
(347) 696-4113
NPI assigned
Jan 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Authorized official

Name
Dr. Rolando M Melendez, DPMNPI 1629393350
Title
Podiatrist
Phone
(347) 696-4113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 006580 NY Primary

Addresses

Primary practice location

5213 Roosevelt Ave FL 1
Woodside, NY 11377-8054

Mailing address

5213 Roosevelt Ave FL 1
Woodside, NY 11377-8054
Phone (347) 696-4113

Other practice location 1

9317 Roosevelt Ave
Jackson Heights, NY 11372-7943
Phone (347) 696-4113

Other practice location 2

1551 Richmond Rd Ste 2B
Staten Island, NY 10304-2338
Phone (347) 696-4113

Other identifiers 1

IdentifierTypeStateIssuer
04072533MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140911001361 NY Part B Supplier - Clinic/Group Practice 2062631781 Receives reassigned benefits from 2 practitioners
Practice locations: Hampton Bays, NY; Jackson Heights, NY; Woodside, NY

National Provider Directory

National Provider Directory

Locations

4223 Colden St
#10K
Flushing, NY 11355

9317 Roosevelt Ave
Fl 1
Jackson Heights, NY 11372
Phone (347) 696-4113

9317 Roosevelt Ave
Jackson Heights, NY 11372
Phone (718) 803-2700

12809 Liberty Ave
South Richmond Hill, NY 11419
Phone (718) 322-7209

1551 Richmond Rd
Ste 2B
Staten Island, NY 10304
Phone (347) 696-4113

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1391040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1902229693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5213 ROOSEVELT AVE FL 1",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113778054",
            "telephone_number": "347-696-4113",
            "fax_number": "347-696-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5213 ROOSEVELT AVE FL 1",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113778054",
            "telephone_number": "347-696-4113",
            "fax_number": "347-696-4113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9317 Roosevelt Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson Heights",
            "state": "NY",
            "postal_code": "113727943",
            "country_code": "US",
            "telephone_number": "347-696-4113",
            "fax_number": "347-696-4113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1551 Richmond Rd Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103042338",
            "country_code": "US",
            "telephone_number": "347-696-4113",
            "fax_number": "347-696-4113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROLANDO M. MELENDEZ DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-30",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "MELENDEZ",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "347-696-4113",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04072533",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.