Brett C Mellinger (NPI# 1174586366, PAC ID# 9032150933) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1174586366 |
| PAC ID by PECOS | 9032150933 |
| Professional Enrollment ID | I20050520000733 |
| Full Name | Brett C Mellinger |
| Organization Legal Name | INTEGRATED MEDICAL PROFESSIONALS PLLC |
| Address |
585 Stewart Ave L14 Garden City NY 11530-4783 |
| Phone Number | 5168735353 |
| Gender | M |
| Credential | MD |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 6406868462 |
| Number of Group Practice Members | 98 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330214 | NEW YORK UNIVERSITY LANGONE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 340 Broadhollow Rd, Suite E, Farmingdale, NY 11735-4807 | 5162807930 | INTEGRATED MEDICAL PROFESSIONALS PLLC |
| 585 Stewart Ave, L14, Garden City, NY 11530-4783 | 5168735353 | INTEGRATED MEDICAL PROFESSIONALS PLLC |
| 4100 Duff Pl A, Seaford, NY 11783-1324 | 5165208080 | INTEGRATED MEDICAL PROFESSIONALS PLLC |
| Organization Legal Name | INTEGRATED MEDICAL PROFESSIONALS PLLC |
| Physicians | 74 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ilan J Safir | Urology | Integrated Medical Professionals Pllc | 535 Plandome Rd, Suite 3, Manhasset, NY 11030-1961 |
| Maria C Contreras | Nurse Practitioner | Integrated Medical Professionals Pllc | 1305 Franklin Ave, Suite 100, Garden City, NY 11530-1630 |
| Howard S Lynn | Urology | Integrated Medical Professionals Pllc | 340 Broadhollow Rd, Suite E, Farmingdale, NY 11735-4807 |
| Matthew L Woolley | Urology | Integrated Medical Professionals Pllc | 4100 Duff Pl A, Seaford, NY 11783-1324 |
| Ann E Anderson | Pathology | Integrated Medical Professionals Pllc | 100 Charles Lindbergh Blvd, Suite B, Uniondale, NY 11553-3631 |
| Jeffrey T Layne | Urology | Integrated Medical Professionals Pllc | 42 -95 Hempstead Tnpk, Bethpage, NY 11714-5713 |
| Marc Schumer | Urology | Integrated Medical Professionals Pllc | 155 Broadway, Amityville, NY 11701-2729 |
| Matthew P Mene | Urology | Integrated Medical Professionals Pllc | 480 Hicksville Rd, Bethpage, NY 11714-3415 |
| Arvin J Adler | Radiation Oncology | Integrated Medical Professionals Pllc | 101 S Central Ave, Hartsdale, NY 10530-2317 |
| Michael A Ficazzola | Urology | Integrated Medical Professionals Pllc | 201 E 19th St, New York, NY 10003-2604 |
| Street Address |
585 STEWART AVE L14 |
| City | GARDEN CITY |
| State | NY |
| Zip | 11530-4783 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cherie Dortch | Clinical Social Worker | 585 Stewart Ave, Suite Ll50, Garden City, NY 11530-4784 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Theresa A Schoenig | Psychologist, Clinical | 9 Greenridge Park, Garden City, NY 11530-1118 | |
| Jessica Powers | Psychologist, Clinical | 95 Suffolk Ln, Garden City, NY 11530-1535 | |
| Janet Weiss | Psychologist, Clinical | 96 Suffolk Ln, Garden City, NY 11530-1536 | |
| Daniel J Ulicny | Anesthesiology | Islandwide Gastroenterology PC | 1205 Franklin Ave, Suite 150, Garden City, NY 11530-1600 |
| Robert J Bonasera | Gastroenterology | Islandwide Gastroenterology PC | 1205 Franklin Ave, Suite 150, Garden City, NY 11530-1600 |
| Kenneth Levine | Anesthesiology | Islandwide Gastroenterology PC | 1205 Franklin Ave, Suite 150, Garden City, NY 11530-1600 |
| Chris Demetriou | Gastroenterology | Chris Demetriou Md PC | 1205 Franklin Ave, Suite 150, Garden City, NY 11530-1600 |
| Zhanqing Yan | Pathology | Islandwide Gastroenterology PC | 1205 Franklin Ave, Suite 150, Garden City, NY 11530-1600 |
| Haseeb Ahmed | Gastroenterology | Chris Demetriou Md PC | 1205 Franklin Ave, Suite 150, Garden City, NY 11530-1600 |
| Eleazer Yousefzadeh | Gastroenterology | Islandwide Gastroenterology PC | 1205 Franklin Ave, Suite 150, Garden City, NY 11530-1600 |
| Find all physicians in zip 11530 | |||
| City | GARDEN CITY |
| Zip Code | 11530 |
| Specialty | UROLOGY |
| City + Specialty | GARDEN CITY + UROLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.