Active NPI
Axel Melendez, MS, ATC
- Athletic Trainer
- New York, NY
National Provider Identifier
1982907820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 001980-1
- Practice address
- 420 Lexington Ave
New York, NY 10170-0002 - Phone
- (212) 973-0655
- Fax
- (212) 973-0656
- NPI assigned
- Dec 15, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 001980-1 | NY | Primary |
Addresses
Primary practice location
420 Lexington Ave
New York, NY 10170-0002
Mailing address
120 Graham St
Unit B
Jersey City, NJ 07307-3328
Phone (423) 596-2676
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001980-1 | NY | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292371200000",
"number": "1982907820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 GRAHAM ST",
"address_2": "UNIT B",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073073328",
"telephone_number": "423-596-2676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 LEXINGTON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101700002",
"telephone_number": "212-973-0655",
"fax_number": "212-973-0656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MELENDEZ",
"first_name": "AXEL",
"credential": "MS, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-15",
"last_updated": "2010-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NY",
"license": "001980-1",
"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 Dec 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.