Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Melanie Douglas, PA-C

Individual provider Surgical Physician Assistant · NPI 1376896142

MS. Melanie Douglas, PA-C is a Surgical Physician Assistant in Staten Island, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

355 Bard Ave
Staten Island, NY 10310-1664
Phone: (718) 818-1234
Fax: (718) 818-1252
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 015826-1 (NY)

Record details

NPI number1376896142
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 18, 2012
Last updated in NPPESOctober 18, 2012

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