Active NPI
Ellen Mellow MD, PLLC
- Cardiovascular Disease Physician
- New York, NY
National Provider Identifier
1922692052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- ELLEN MELLOW MD, PLLC
- Practice address
- 184 E 70TH St Unit 4
New York, NY 10021-5154 - Phone
- (212) 287-7342
- NPI assigned
- Mar 1, 2021
- Last updated
- Mar 1, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ellen Mellow, MD
- Title
- Principal
- Phone
- (212) 287-7342
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
184 E 70TH St Unit 4
New York, NY 10021-5154
Mailing address
184 E 70TH St Unit 4
New York, NY 10021-5154
Phone (212) 287-7342
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
184 E 70th St
Unit 4
New York, NY 10021
Phone (212) 287-7342
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EFICCD
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614556800000",
"number": "1922692052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "184 E 70TH ST UNIT 4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100215154",
"telephone_number": "212-287-7342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "184 E 70TH ST UNIT 4",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100215154",
"telephone_number": "212-287-7342"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELLEN MELLOW MD, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-01",
"last_updated": "2021-03-01",
"certification_date": "2021-03-01",
"status": "A",
"authorized_official_last_name": "MELLOW",
"authorized_official_first_name": "ELLEN",
"authorized_official_title_or_position": "PRINCIPAL",
"authorized_official_telephone_number": "212-287-7342",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.