IndividualActive
Kimberly Melnik, MS ED
NPI 1104180421 · Specialist · Syracuse, NY
Kimberly Melnik, MS ED is a Specialist provider in Syracuse, NY (NPI 1104180421).
Provider details
- NPI number
- 1104180421
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- MS ED
- Sex
- Female
- Sole proprietor
- No
- License
- 515192111 (NY)
Specialties & taxonomies
Other Service Providers
Other Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
171 Intrepid Ln
Syracuse, NY 13205-2548
Phone: (315) 437-4689
Fax: (315) 437-4698
Street-level locationGet directions
Mailing address
4268 Gemini Path
Liverpool, NY 13090-1937
Registry dates
- Enumerated
- 2012-07-02
- Last updated
- 2012-07-02
Frequently asked questions
- What is Kimberly Melnik's NPI number?
- Kimberly Melnik's National Provider Identifier (NPI) is 1104180421, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Melnik's specialty?
- Kimberly Melnik is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Kimberly Melnik located?
- Kimberly Melnik's practice location on file with NPPES is 171 Intrepid Ln, Syracuse, NY 13205-2548.
- What is Kimberly Melnik's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Melnik is (315) 437-4689.
- Is Kimberly Melnik's NPI active?
- Yes — Kimberly Melnik's NPI (1104180421) is active in the NPPES registry as of the last update on 2012-07-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.