OCTAVIO MELENDEZ M.D. NPI 1770656761

NPI Information

NPI: 1770656761
Provider Name: OCTAVIO MELENDEZ, M.D.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
419 66TH STREET
WEST NEW YORK, NJ
ZIP 07093
Phone: (201) 861-9229
Get Directions

Octavio Melendez, M.D. is an obstetrics gynecology in West New York, NJ. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Octavio Melendez, M.D. NPI is 1770656761. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

419 66TH STREET
WEST NEW YORK, NJ
ZIP 07093
Phone: (201) 861-9229
Fax: (201) 861-9272

The NPI 1770656761 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 3/11/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		10122	PUERTO RICO	No
2	207V00000X	Obstetrics & Gynecology		25MA08597600	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier Issuer
1	1218	OTHER	AMERICAN HEALTH INC
2	2062	OTHER	INTERNATIONAL MEDICAL CAR
3	7310178	OTHER	HUMANA REFORMA
4	210122	OTHER	MEDICAL CARD SYSTEM
5	62875	OTHER	CRUZ AZUL
6	7310178	OTHER	HUMANA HEALTH CARE
7	1604287	OTHER	ACCA
8	7310178	OTHER	HUMANA
9	3710122	OTHER	AUTORIDAD DE ACUEDUCTOS
10	600533	OTHER	MMM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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