VIJI JOSEPH MELEDATH (NPI# 1669962791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669962791 |
| Entity Type | Individual |
| Full Name | VIJI JOSEPH MELEDATH |
| Credential | PMHNP |
| Practice Address |
38 Fawn Ln Westbury NY 11590 |
| Mailing Address |
38 Fawn Ln Westbury NY 11590-6528 |
| Practice Telephone | 5166803221 |
| Mailing Telephone | 5166803221 |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
402453 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
38 FAWN LN |
| City | WESTBURY |
| State | NY |
| Zip Code | 11590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940167 | Jacqueline Belinda Trichter | Specialist | 1400 Old Old Country Rd, Suite C103n, Westbury, NY 11590 | 2020-10-22 |
| 1306486501 | Tesa S Etchieson | Case Manager/Care Coordinator | 1400 Old Country Road Suite C103-n, Westbury, NY 11590 | 2020-01-15 |
| 1134762685 | Melissa Barry | Behavioral Analyst | 19 Sherman Street, Westbury, NY 11590 | 2019-10-28 |
| 1538713060 | Li Chen | Massage Therapist | 97 Post Ave, Westbury, NY 11590 | 2019-08-01 |
| 1942787320 | Ketsia Desrosiers | Registered Nurse | 1610 Old Country Road, Westbury, NY 11590 | 2018-07-27 |
| 1710472782 | Long Island Heart and Vascular Specialist PC | Internal Medicine | 1600 Stewart Ave Ste 105, Westbury, NY 11590 | 2018-06-22 |
| 1093217911 | Orthotic Services for Children, Inc. | Orthotist | 811a Carman Ave., Westbury, NY 11590 | 2018-03-07 |
| 1356884431 | Aurus Service Center of New York, LLC | Early Intervention Provider Agency | 39 Pilgrim Lane, Westbury, NY 11590 | 2016-11-22 |
| 1376099598 | Kelly Eulner-tripodi | Social Worker | 50 East Asbury Ave, Westbury, NY 11590 | 2016-08-28 |
| 1720440100 | Chetan Sharma | Early Intervention Provider Agency | 400 Post Avenue, Suite 203, Westbury, NY 11590 | 2016-03-24 |
| Find all providers in zip 11590 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396238127 | Erica Malloy Psychiatric Nurse Practitioner PC | Nurse Practitioner | 16 Marietta Dr, Westbury, NY 11590-1134 | 2018-06-06 |
| 1699808030 | Tara Howard-saunders | Nurse Practitioner | 682 Union Ave, Westbury, NY 11590-3552 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518794 | Johnson Oppong | Nurse Practitioner | 160 Theodore Fremd Ave Apt C2, Rye, NY 10580-2842 | 2020-11-08 |
| 1619578366 | Jecinter L Otieno | Nurse Practitioner | 195 Hillside Dr, Oneonta, NY 13820-3611 | 2020-11-07 |
| 1073113833 | Natalie Grant-villegas | Nurse Practitioner | 1210 Fulton St Apt 1, Brooklyn, NY 11216-2003 | 2020-10-29 |
| 1780284869 | Mary Gwynne Tillotson | Nurse Practitioner | 82 Oxford Ave, Buffalo, NY 14209-1406 | 2020-10-28 |
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1407455967 | Marie J. Schwarz, Npp-bc PC | Nurse Practitioner | 133 E Main St Ste 3h, Babylon, NY 11702-3517 | 2020-10-25 |
| 1720687015 | Ashley Winn | Nurse Practitioner | 367 E Chester St, Long Beach, NY 11561-2324 | 2020-10-19 |
| 1114525961 | Tanya Monique Sydnor Holmes | Nurse Practitioner | 1601 Baldwin Blvd, Bay Shore, NY 11706-2145 | 2020-10-14 |
| 1669079976 | Mary Lynn Good | Nurse Practitioner | 3344 Chambers Rd # 200, Horseheads, NY 14845-1403 | 2020-10-08 |
| 1376140277 | Megan Elizabeth Bhatti | Nurse Practitioner | 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 | 2020-10-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.