{"npi":"1366022915","type":"NPI-1","status":"active","name":{"display":"Dr. Ian Mellis MD, PHD","other":[],"first":"IAN","last":"MELLIS","middle":"ALEXANDER","credential":"MD, PHD"},"specialty":{"primary_taxonomy":"207ZC0006X","primary_taxonomy_description":"Clinical Pathology Physician","slug":"clinical-pathology-physician","schema_org_specialty":null,"all":[{"code":"207ZC0006X","description":"Clinical Pathology Physician","primary":true,"state":"NY","license":"327229"},{"code":"207ZB0001X","description":"Blood Banking & Transfusion Medicine Physician","primary":false,"state":"NY","license":"327229"},{"code":"207ZP0104X","description":"Chemical Pathology Physician","primary":false,"state":"NY","license":"327229"},{"code":"207ZP0105X","description":"Clinical Pathology/Laboratory Medicine Physician","primary":false,"state":"NY","license":"327229"}]},"addresses":[{"purpose":"LOCATION","street_1":"622 W 168TH ST","city":"NEW YORK","state":"NY","postal_code":"100323720","country_code":"US","phone":"2123055697"},{"purpose":"MAILING","street_1":"630 WEST 168TH ST","city":"NEW YORK","state":"NY","postal_code":"10032","country_code":"US","street_2":"PH 1564W"}],"license":{"state":"NY","number":"327229"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20250619002244","type_code":"14-22","type_desc":"PRACTITIONER - PATHOLOGY","state":"NY","pac_id":"4981115573"}]},"enumeration_date":"2021-04-08","last_updated":"2025-10-24","_meta":{"source":"NPPES","snapshot_date":"2025-10-24","doc_url":"https://findmynpi.com/api"}}