ANDRES MAURICIO MELO RPAC, MPAS
NPI 1982948865
Physician Assistant - Medical in Freeport, NY

Q: What is Andres Melo's NPI number?

The NPI number for Andres Melo is 1982948865. It was assigned to this individual provider in the NPPES registry on November 16, 2012.

Q: What is Andres Melo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Andres Melo was last updated on November 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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 16, 2012PECOS Enrolled

55 N MAIN ST, FREEPORT, NY 11520(516) 377-8014(516) 377-8017 Get Directions Write a Review

NPPES record last updated: November 16, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Andres Mauricio Melo Rpac, Mpas NPPES

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

ANDRES MAURICIO MELO RPAC, MPAS (NPI 1982948865) is an individual medical provider in Freeport, New York, licensed in New York (016262) and active in the NPI registry since November 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982948865

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameANDRES MAURICIO MELOCredential: RPAC, MPAS

Location Address55 N MAIN STFreeport, NY 11520-2243

Mailing Address55 N Main StFreeport, NY 11520-2243 · (516) 377-8014 · Fax (516) 377-8017

Phone(516) 377-8014

Fax(516) 377-8017

Sole ProprietorNo

Enumeration DateNovember 16, 2012

✔ NPI 1982948865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NY · 016262

55 N MAIN ST, Freeport, NY 11520

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Other Identifiers 1

Other016262NY · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andres Mauricio Melo Rpac, Mpas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 19

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

DR. MOHAMED IDRIS MEDICAL PC

Internal Medicine (Endocrinology, Diabetes & Metabolism)