Gerald S Mennin, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

82673 Issued in NY

Practice address

45 Ludlow St
Suite 618
Yonkers, NY 10705-1947

Phone

(914) 969-6995

Fax

(914) 969-2917

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Diabetic Eye Care Consultants of New York, PLLC

  • Ophthalmologic Surgery Clinic/Center
  • New York, NY
  • NPI 1881120608
  NPD (past)
• John M. Aljian, MD, PC

  • Ophthalmology Physician
  • Yonkers, NY
  • NPI 1285855387
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1003902156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 LUDLOW ST",
            "address_2": "SUITE 618",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107051947",
            "telephone_number": "914-969-6995",
            "fax_number": "914-969-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 LUDLOW ST",
            "address_2": "SUITE 618",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107051947",
            "telephone_number": "914-969-6995",
            "fax_number": "914-969-2917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENNIN",
        "first_name": "GERALD",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "82673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS BLUE SH",
            "identifier": "48Z791",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4096908",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "OH4152",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "WS005",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP HEALTH PLAN NY",
            "identifier": "23228P",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00121706",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Kenneth Mendez, PHARMACIST
• Mary Mendola, SPEECH PATHOLOGIST
• Thomas Mendola, CASAC
• Franchel Mendoza
• Mike Menla, MD
• Abigail Mensah, BSN,RN
• Ashley Mercado, MD
• Kathy Mercado, TRANSPORTATION
• Estefania Mercedes
• Lizbeth Merelo

• Ophthalmology Physician in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.