Organization Active NPI

Melrose Shipley Urgent Care PLLC

  • Emergency Medicine Physician
  • New York, NY
National Provider Identifier
1942590567
Registry record updated Apr 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
174682 Issued in NY
Legal business name
MELROSE SHIPLEY URGENT CARE PLLC
Practice address
199 Amsterdam Ave
New York, NY 10023-5024
Phone
(212) 721-4200
Fax
(212) 721-4201
NPI assigned
Apr 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2011

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

Authorized official

Name
Dr. Mark Melrose, DO
Title
Member
Phone
(212) 721-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X 174682 NY Primary

Addresses

Primary practice location

199 Amsterdam Ave
New York, NY 10023-5024

Mailing address

199 Amsterdam Ave
New York, NY 10023-5024
Phone (212) 721-4200

Other names 1

  • Urgent Care Manhattan Doing business as

National Provider Directory

National Provider Directory

Locations

199 Amsterdam Ave
New York, NY 10023
Phone (212) 721-4200

199 Amsterdam Ave
#69
New York, NY 10023

NPI Registry JSON

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

{
    "created_epoch": "1302825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302825600000",
    "number": "1942590567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235024",
            "telephone_number": "212-721-4200",
            "fax_number": "212-721-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235024",
            "telephone_number": "212-721-4200",
            "fax_number": "212-721-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELROSE SHIPLEY URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-15",
        "last_updated": "2011-04-15",
        "status": "A",
        "authorized_official_last_name": "MELROSE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "212-721-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "174682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urgent Care Manhattan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 15, 2011; 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.