Melissa M Chan, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

199616 Issued in NY

Legal business name

MELISSA M CHAN, PLLC

Practice address

139 Centre Street
Suite PH 104
New York, NY 10013-4559

Phone

(212) 343-2536

Fax

(212) 343-2537

NPI assigned

Jul 2, 2006

Organization subpart

No

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

Authorized official

Name

Melissa Man-Lai Chan, M.D.

Title

Owner

Phone

(212) 343-2536

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1982633822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 CENTRE STREET",
            "address_2": "SUITE PH 104",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134559",
            "telephone_number": "212-343-2536",
            "fax_number": "212-343-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 CENTRE STREET",
            "address_2": "SUITE PH 104",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134559",
            "telephone_number": "212-343-2536",
            "fax_number": "212-343-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA M CHAN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "MAN-LAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-343-2536",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "199616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01659732",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa a Peaslee
• Melissa a. Doft MD PLLC
• Melissa Adams
• Melissa Borrero MD, PLLC
• Melissa Kate McIntosh, Inc.
• Melissa Stanger LCSW, PLLC
• Melissa Weisel PHD LCSW PLLC
• Joshua Melito, D.O.
• Ariane Hayden Meliton, PA-C
• Ashley Meliton

• Internal Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.