DR. JAY TERRELL MELTON (NPI# 1194036764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194036764 |
| Entity Type | Individual |
| Full Name | DR. JAY TERRELL MELTON |
| Credential | MD |
| Practice Address |
800 Poly Pl Brooklyn NY 11209-7104 |
| Mailing Address |
451 Clarkson Ave Department of Emergency Medicine Brooklyn NY 11203-2054 |
| Practice Telephone | 7188366600 |
| Mailing Telephone | 2692675742 |
| Enumeration Date | 2010-06-28 |
| Last Update Date | 2014-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
800 POLY PL |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11209-7104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629050125 | Andrew J. Adler | Internal Medicine | 800 Poly Pl, 11 Bk, Brooklyn, NY 11209-7104 | 2005-11-18 |
| 1710587530 | Melanie Ann Zarabi-aazam | Art Therapist | 800 Poly Pl, Brooklyn, NY 11209-7104 | 2020-10-30 |
| 1336749878 | Lydia Cotter | Recreation Therapist | 800 Poly Pl, Brooklyn, NY 11209-7104 | 2020-10-26 |
| 1588278295 | Oriel Rafaelov | Physician Assistant | 800 Poly Pl, Brooklyn, NY 11209-7104 | 2020-09-01 |
| 1417575606 | Angelica Marguerite Ferri | Student in an Organized Health Care Education/Training Program | 800 Poly Pl, Brooklyn, NY 11209-7104 | 2020-07-14 |
| 1295353530 | Alyssa Marie Tursi | Student in an Organized Health Care Education/Training Program | 800 Poly Pl, Brooklyn, NY 11209-7104 | 2020-07-13 |
| 1306464680 | Nicole Mercho | Student in an Organized Health Care Education/Training Program | 800 Poly Pl, Brooklyn, NY 11209-7104 | 2020-07-13 |
| 1841818101 | Taheerah Najla Hendricks | Social Worker | 800 Poly Pl, Brooklyn, NY 11209-7104 | 2020-07-13 |
| 1558988907 | Wei Chen | Optometrist | 800 Poly Pl, Brooklyn, NY 11209-7104 | 2020-07-01 |
| 1649893595 | Brendan Leggett Hassig | Student in an Organized Health Care Education/Training Program | 800 Poly Pl, Brooklyn, NY 11209-7104 | 2020-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649897737 | Antar, LLC | Optometrist | 9714 Fourth Ave, Store Front, Brooklyn, NY 11209 | 2020-07-06 |
| 1184250540 | Daily Strength Physical Therapy Pllc | Physical Therapist | 343 Marshall Drive N #2a, Brooklyn, NY 11209 | 2020-03-18 |
| 1306492731 | Penny Planzos | Dentist | 7815 4th Avenue, Brooklyn, NY 11209 | 2019-08-12 |
| 1932660917 | Kristen Elizabeth Dalelio | Social Worker | 9401 4th Ave Fl 1, Brooklyn, NY 11209 | 2019-03-30 |
| 1346706413 | Yelena Lobova | Specialist | 7100 Ridge Blvd Apt 3c, Brooklyn, NY 11209 | 2019-02-13 |
| 1841781648 | Ian Rugg Psychology Pllc | Psychologist | 545 73rd Street, Ground Floor, Brooklyn, NY 11209 | 2018-05-29 |
| 1194227520 | Constantinos Kokkinos | Social Worker | 37 72nd St Apt 1, Brooklyn, NY 11209 | 2018-03-01 |
| 1760905186 | Ankita Luthra | Student in an Organized Health Care Education/Training Program | 470 84th Street Brooklyn, New York, NY 11209 | 2017-07-18 |
| 1700308186 | Griselda Marleny Rodriguez Jorge | Social Worker | 1 74th Street, Apt 4m, Brooklyn, NY 11209 | 2017-07-07 |
| 1932629854 | Jonathan Dennehy | Social Worker | 307 West 38th Street, Suite 817, New York, NY 11209 | 2017-06-21 |
| Find all providers in zip 11209 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770266 | Fahad Gul Khan | Student in an Organized Health Care Education/Training Program | 760 Broadway Rm 10a218, Brooklyn, NY 11206-5383 | 2020-11-02 |
| 1093313355 | Nanyamkah Jacquella Washington | Student in an Organized Health Care Education/Training Program | 280 Sterling St, Brooklyn, NY 11225-4113 | 2020-10-09 |
| 1750996476 | Charlotte Berthe Scott | Student in an Organized Health Care Education/Training Program | 543 Quincy St Apt 1, Brooklyn, NY 11221-6981 | 2020-09-10 |
| 1336751429 | Chhabilal Bastola | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave # Im, Brooklyn, NY 11213-1122 | 2020-08-19 |
| 1710599840 | Saujan Devkota | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave Apt 1b, Brooklyn, NY 11213-1122 | 2020-08-19 |
| 1831709260 | Taimy Falcon-rodriguez | Student in an Organized Health Care Education/Training Program | 142 Jefferson Ave Apt 1, Brooklyn, NY 11216-5909 | 2020-07-31 |
| 1720697048 | Elli Jacob Matatov | Student in an Organized Health Care Education/Training Program | 714 E 9th St, Brooklyn, NY 11230-2202 | 2020-07-23 |
| 1639797178 | Alessia Field | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave Suny Downstate, Department of Obstetrics and Gynecology-msc24, Brooklyn, NY 11203-2012 | 2020-07-10 |
| 1124645361 | Danielle Bensimhon Greco | Student in an Organized Health Care Education/Training Program | 132 Remsen St, Brooklyn, NY 11201-4275 | 2020-07-04 |
| 1992322267 | Sohrab Singh | Student in an Organized Health Care Education/Training Program | House Staff/gme Office, 121 Dekalb Avenue, The Brooklyn Hospital Center, Brooklyn, NY 11201 | 2020-07-02 |
| Find all providers in BROOKLYN | ||||
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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.