MELISSA SAN PEDRO
NPI 1164066049
Case Manager/Care Coordinator in Forest Hills, NY

Q: What is Melissa San Pedro's NPI number?

The NPI number for Melissa San Pedro is 1164066049. It was assigned to this individual provider in the NPPES registry on November 4, 2019.

Q: What is Melissa San Pedro's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Melissa San Pedro was last updated on February 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 04, 2019

10818 QUEENS BLVD, FOREST HILLS, NY 11375(212) 804-7659 Get Directions Write a Review

NPPES record last updated: February 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 28, 2025, Nov 4, 2019 (2 updates tracked since 2019).

On this page

About Melissa San Pedro NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA SAN PEDRO (NPI 1164066049) is an individual case manager/care coordinator provider in Forest Hills, New York and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1164066049

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameMELISSA SAN PEDRO

Location Address10818 QUEENS BLVDForest Hills, NY 11375-4748

Mailing Address10818 Queens BlvdForest Hills, NY 11375-4748 · (212) 804-7659

Phone(212) 804-7659

Sole ProprietorYes

Enumeration DateNovember 4, 2019

Last NPPES UpdateFebruary 28, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 28, 2025

✔ NPI 1164066049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

10818 QUEENS BLVD, Forest Hills, NY 11375

Open in Google Maps ↗

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WENDY BIAGGI

Specialist