Individual provider Active NPI

Melineh Issayans

  • Dentist
  • New York, NY
National Provider Identifier
1942824792
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
06204701 Issued in NY
Practice address
325 E 79TH St Apt 1B
New York, NY 10075-0982
Phone
(833) 929-2559
NPI assigned
Jun 7, 2020
Last updated
Jul 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dentist 122300000X 06204701 NY Primary

Addresses

Primary practice location

325 E 79TH St Apt 1B
New York, NY 10075-0982

Mailing address

784 Columbus Ave Apt 6M
New York, NY 10025-5916
Phone (301) 787-0487

Other practice location 1

784 Columbus Ave Apt 6M
New York, NY 10025-5916
Phone (301) 787-0487

Other practice location 2

9438 59th Ave
Elmhurst, NY 11373-5151
Phone (718) 699-1100

Other practice location 3

1650 Grand Concourse
Bronx, NY 10457-7606
Phone (718) 901-8410

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

LicenseStateTypeSpecialty
06204701NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Denal Care P.C. Dentist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1591488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1942824792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 COLUMBUS AVE APT 6M",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255916",
            "telephone_number": "301-787-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E 79TH ST APT 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750982",
            "telephone_number": "833-929-2559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "784 Columbus Ave Apt 6M",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100255916",
            "country_code": "US",
            "telephone_number": "301-787-0487",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9438 59th Ave",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113735151",
            "country_code": "US",
            "telephone_number": "718-699-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1650 Grand Concourse",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104577606",
            "country_code": "US",
            "telephone_number": "718-901-8410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISSAYANS",
        "first_name": "MELINEH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-07",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "06204701",
            "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 25, 2022; 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.