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Deactivated NPI 1033549258 Deactivated / Inactive NPI Female Practitioner

Melissa Vanderhall , RPA-C

Physician Assistant • Bronx, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Melissa Vanderhall has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 25, 2013
NPI Deactivation Date November 02, 2017
Total Practice Duration ~4 Years of Practice (2013 – 2017)

Professional Overview & Biography Verified Profile Summary

Melissa Vanderhall, RPA-C was a registered Physician Assistant practicing in Bronx, NY. Throughout an active medical career spanning 4 years, Melissa Vanderhall provided care at the practice location at 1065 SOUTHERN BLVD until profile deactivation on 2017-11-02.

Practice Location & Contact Primary Location

Practice Address

1065 Southern Blvd

Bronx, NY 104592417

Telephone 7185892440
Associated Practice Facility / Clinic
🏢 Urban Health Plan, Inc. Facility NPI 1265596548

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Bronx, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.3 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
1033 Specialists

Practicing in Bronx, NY (15701 Statewide)

Telehealth Adoption Rate
5.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 017150

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Christina Camacho

Nutritionist

NPI 1013160969
Dr. Racquel Millwood , PsyD

Psychologist - Clinical

NPI 1013291574

Doctor of Psychology (Psy.D.)

Maria Delia Crosby , AGPCNP-BC

Nurse Practitioner - Adult Health

NPI 1013513217

AGPCNPBC

Gloria Rodriguez , FNP

Nurse Practitioner - Family

NPI 1013608595

Family Nurse Practitioner

Chelsea Alonzo Acebo , PA-C

Physician Assistant

NPI 1023827813

Physician Assistant (Certified)

NPI 1033416987

DENTALHYGENIST

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 02, 2017

Record deactivated on November 02, 2017

NPI Profile Active October 05, 2015

NPI status registered as active in NPPES database

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Updated Practice Location October 05, 2015

Registered at 1065 SOUTHERN BLVD, BRONX, NY 104592417 (Tel: 7185892440)

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Updated Business Mailing Address October 05, 2015

Registered at 125 PERRY ST, HEMPSTEAD, NY 115505219 (Tel: 5162361894)

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Provider Name / Credentials Updated October 05, 2015

Recorded as MELISSA VANDERHALL, RPA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2015

Physician Assistant (License #017150 in NY)

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Initial NPI Registration & Enumeration November 25, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1033549258
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 25, 2013
Last Update: October 05, 2015
Deactivation Date: November 02, 2017

Mailing Address

125 Perry St

Hempstead, NY 115505219

Phone: 5162361894

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.