Organization Active NPI

Dr. Melva L. Baker Podiatry, PC

  • Foot Surgery Podiatrist
  • New York, NY
National Provider Identifier
1942630884
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
00637 Issued in NY
Legal business name
DR. MELVA L. BAKER PODIATRY, PC
Practice address
928 Broadway Ste 904
New York, NY 10010-8120
Phone
(646) 783-9491
Fax
(212) 369-7850
NPI assigned
Nov 13, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Melva L. Baker, D.P.M.NPI 1831461482
Title
Podiatrist
Phone
(646) 345-1253

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 Surgery Podiatrist 213ES0131X 00637 NY Primary

Addresses

Primary practice location

928 Broadway Ste 904
New York, NY 10010-8120

Mailing address

159 E 103Rd St
Suite 2G
New York, NY 10029-5341
Phone (646) 345-1253

Other practice location 1

421 Huguenot St Ste 56
New Rochelle, NY 10801-7021
Phone (646) 345-1253

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131204001172 NY Part B Supplier - Clinic/Group Practice 7315173986 Receives reassigned benefits from 1 practitioner
Practice locations: New Rochelle, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

928 Broadway
Ste 904
New York, NY 10010
Phone (212) 375-9802

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": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1942630884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 E 103RD ST",
            "address_2": "SUITE 2G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100295341",
            "telephone_number": "646-345-1253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 BROADWAY STE 904",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100108120",
            "telephone_number": "646-783-9491",
            "fax_number": "212-369-7850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 Huguenot St Ste 56",
            "address_purpose": "LOCATION",
            "city": "New Rochelle",
            "state": "NY",
            "postal_code": "108017021",
            "country_code": "US",
            "telephone_number": "646-345-1253",
            "fax_number": "212-369-7850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. MELVA L. BAKER PODIATRY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "MELVA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "646-345-1253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "00637",
            "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 Jul 21, 2022; 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.