Active NPI
Sanjay Menon, MD
- Neurology Physician
- Boston, MA
National Provider Identifier
1003258732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- L-256450
- Practice address
- 55 Fruit St.
Massachusetts General Hospital
Boston, MA 02114 - Phone
- (857) 238-5600
- NPI assigned
- Jul 23, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | L-256450 | MA | Primary |
Addresses
Primary practice location
55 Fruit St.
Massachusetts General Hospital
Boston, MA 02114
Mailing address
55 Fruit St.
Massachusetts General Hospital
Boston, MA 02114
Phone (857) 238-5600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131213001033 | MA | Order and Referring Only - Neurology | 9234366410 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-256450 | MA | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374537600000",
"number": "1003258732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 FRUIT ST.",
"address_2": "MASSACHUSETTS GENERAL HOSPITAL",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "857-238-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 FRUIT ST.",
"address_2": "MASSACHUSETTS GENERAL HOSPITAL",
"city": "BOSTON",
"state": "MA",
"postal_code": "02114",
"telephone_number": "857-238-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENON",
"first_name": "SANJAY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-23",
"last_updated": "2013-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MA",
"license": "L-256450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.