Melvin Henry Thornton II MD Corp

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

Legal business name

MELVIN HENRY THORNTON II MD CORP

Practice address

161 Madison Ave Suite 4SW
New York, NY 10016-5459

Phone

(646) 737-2470

Fax

(718) 253-8117

NPI assigned

Jan 13, 2021

Organization subpart

No

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

Authorized official

Name

Susan Bouskila

Title

Credentialing Manager

Phone

(646) 737-2470

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1982293098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 GREENWICH AVE",
            "city": "CENTRAL VALLEY",
            "state": "NY",
            "postal_code": "109173718",
            "telephone_number": "646-737-2470",
            "fax_number": "718-253-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 MADISON AVE SUITE 4SW",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165459",
            "telephone_number": "646-737-2470",
            "fax_number": "718-253-8117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELVIN HENRY THORNTON II MD CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "BOUSKILA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "646-737-2470"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "217796-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonia Meluk, PHD
• Jamie Lauren Melville, PA
• Kathleen E. Melville, MD
• Lateefah Melville, PA-C
• Shanika Renee Melville
• Elizabeth Melvin
• Mark Antonio Melvin, LMSW
• Teneisha Nisreen Melvin, PHARMACIST
• Bennett Melzak
• Jessica Nicole Melzer, RD, CDN

• Reproductive Endocrinology Physician in New York, NY
• Providers in New York, NY by specialty
• Reproductive Endocrinology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.