MEDICARE: MATTHEW MBAMELU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker

General Provider Information

NPI Number	:	1790408789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW MBAMELU

Provider Business Mailing Address
First Line	:	4 FORDHAM HILL OVAL APT 17A
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10468-4729
Country	:	US
Telephone Number	:	347-656-6153
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 FORDHAM HILL OVAL APT 17A
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10468-4729
Country	:	US
Telephone Number	:	347-656-6153
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2022
Last Update Date	:	11/19/2024

Similar Medicare Providers

1649121260 — MENGLING CAO
Practice Location Address:

130 W KINGSBRIDGE RD
BRONX, NY
10468-3904

Practice Phone: 718-584-9000
Practice Fax:

1881548964 — DESTINY YESENIA HOLDER
Practice Location Address:

2500 WEBB AVE APT 3H
BRONX, NY
10468-3925

Practice Phone: 347-686-1095
Practice Fax:

1477405645 — RELINGTON BASTIEN
Practice Location Address:

130 W KINGSBRIDGE RD
BRONX, NY
10468-3904

Practice Phone: 718-584-9000
Practice Fax:

1316996630 — BRONX VAMC
Practice Location Address:

130 W KINGSBRIDGE RD
BRONX, NY
10468-3904

Practice Phone: 717-277-6565
Practice Fax:

1760332274 — DIANA PAK
Practice Location Address:

250 BEDFORD PARK BLVD W
BRONX, NY
10468-1527

Practice Phone: 718-960-8000
Practice Fax:

1790045219 — LAWRENCE KELLEHER DO
Practice Location Address:

130 W KINGSBRIDGE RD
BRONX, NY
10468-3904

Practice Phone: 718-584-9000
Practice Fax:

Directions to “ MATTHEW MBAMELU ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.