Active NPI
Tatevik Melkumian, DMD
- General Practice Dentistry
- Union, NJ
National Provider Identifier
1932760212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 22DI02761500
- Practice address
- 1050 Galloping Hill Rd Ste 103
Union, NJ 07083-7980 - Phone
- (908) 768-3057
- NPI assigned
- Jun 26, 2019
- Last updated
- Jun 26, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 22DI02761500 | NJ | Primary |
Addresses
Primary practice location
1050 Galloping Hill Rd Ste 103
Union, NJ 07083-7980
Mailing address
40 Brighton 1St Rd Apt 15B
Brooklyn, NY 11235-8131
Phone (917) 972-7868
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI02761500 | NJ | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561507200000",
"number": "1932760212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 BRIGHTON 1ST RD APT 15B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112358131",
"telephone_number": "917-972-7868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 GALLOPING HILL RD STE 103",
"city": "UNION",
"state": "NJ",
"postal_code": "070837980",
"telephone_number": "908-768-3057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELKUMIAN",
"first_name": "TATEVIK",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-26",
"last_updated": "2019-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NJ",
"license": "22DI02761500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Union, NJ
- Emerald Medina, FNP
- Medrescue Mobile Health Services
- Mega Care Inc. (Cornell Hall Nursing and Rehabilitation)
- Mega Care Inc. (Cornell Hall Nursing and Rehabilitation)
- Stephanie F. Meiz, PMHNP-BC
- Majorie Mellon, OTR/L
- Maristela Normando Melo, LCSW
- Melvin Landew DDS, Matthew Horn DDS
- Melvin Landew, D.D.S., Matthew Horn,D.D.S.
- Alexa Mendes, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.