NPIMap

Individual provider Active NPI

James Mark Melis, M.D.

  • Family Medicine Physician
  • Whitestone, NY
National Provider Identifier
1992704233
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
255584-1 Issued in NY
Practice address
150-55 14TH Avenue
Whitestone, NY 11357-2821
Phone
(718) 559-3300
Fax
(718) 559-3349
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 042156 CT
Family Medicine Physician 207Q00000X 255584-1 NY Primary

Addresses

Primary practice location

150-55 14TH Avenue
Whitestone, NY 11357-2821

Mailing address

150-55 14TH Avenue
Whitestone, NY 11357
Phone (718) 559-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100120000313 NY Practitioner - Family Practice 6800841875 Reassigns benefits to 1 organization
Practice locations: Sunnyside, NY; Yonkers, NY

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5019 41St St
Sunnyside, NY 11104-3123
Phone (631) 271-9151

Hospital & facility affiliations

  • Girling Health Care of New York Home health agency, Brooklyn, NY, CCN 337243
  • Vnsny Hospice and Palliative Care Hospice, New York, NY, CCN 331519
  • Mount Sinai Hospital Hospital, New York, NY, CCN 330024
  • New York Center For Rehabilitation & Nursing Nursing home, Astoria, NY, CCN 335838
  • Dry Harbor Nursing Home Nursing home, Middle Village, NY, CCN 335416

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
255584-1NYMDFamily Medicine Physician

Practice roles (4 of 8)

OrganizationSpecialtyStatusNew patients
North Shore Hematology Oncology Associates PC CurrentSince Apr 1, 2022 Accepting new patients
New York Rehabilitation Care Management , LLC Past Accepting new patients
Mount Sinai Hospital Past Accepting new patients
Dry Harbor HRF Inc Past Accepting new patients

Locations

4564 Francis Lewis Blvd
Ste 202
Bayside, NY 11361

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

3016 30th Dr
Long Island City, NY 11102
Phone (718) 728-3376

3141 45th St
Long Island City, NY 11103
Phone (718) 274-2600

1 Delaware Dr
Ste 101
New Hyde Park, NY 11042

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: jmelis364721@northwell.direct-ci.com

Organizations & group practices 4

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

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1992704233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150-55 14TH AVENUE",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "11357",
            "telephone_number": "718-559-3300",
            "fax_number": "718-559-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150-55 14TH AVENUE",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113572821",
            "telephone_number": "718-559-3300",
            "fax_number": "718-559-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELIS",
        "first_name": "JAMES",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "042156",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "255584-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitestone, NY

Sources for this page

Verify at the official NPI Registry.