Active NPI
Richard B Menashe, DO
- Family Medicine Physician
- Edison, NJ
National Provider Identifier
1003989237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MB04647400
- Practice address
- 15 So Main St
Edison, NJ 08837 - Phone
- (732) 906-8866
- Fax
- (732) 906-0124
- NPI assigned
- Nov 16, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MB04647400 | NJ | Primary |
Addresses
Primary practice location
15 So Main St
Edison, NJ 08837
Mailing address
15 So Main St
Edison, NJ 08837
Phone (732) 906-8866
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 222987240 | Other | BCBS OF NJ | |
| 047830 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- University of New England, College of Osteo Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
15 S Main St
Edison, NJ 08837-3447
Phone (732) 906-8866
Hospital & facility affiliations
- Hackensack Meridian JFK at Home
- Visiting Nurse Association of Central Jersey Home Care and Hospice
- Caring Hospice Services of Central Jersey
- JFK University Medical Center
- Embassy Manor at Edison Nursing and Rehabilitation
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sciometrix Inc | Current | Accepting new patients | |
| Sciometrix LLC | Past | Accepting new patients |
Locations
306 S Washington Ave
Ste 600
Royal Oak, MI 48067
5600 Kennedy Blvd W
West New York, NJ 07093
Phone (201) 686-3100
Organizations & group practices 2
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.
-
- General Practice Physician
- Royal Oak, MI
- NPI 1619649894
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Edison, NJ
- NPI 1477589638
-
- Home Health Agency
- Iselin, NJ
- NPI 1841943891
-
- General Acute Care Hospital
- Edison, NJ
- NPI 1144894577
-
- Home Health Agency
- Toms River, NJ
- NPI 1912964818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468972800000",
"number": "1003989237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 SO MAIN ST",
"city": "EDISON",
"state": "NJ",
"postal_code": "08837",
"telephone_number": "732-906-8866",
"fax_number": "732-906-0124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 SO MAIN ST",
"city": "EDISON",
"state": "NJ",
"postal_code": "08837",
"telephone_number": "732-906-8866",
"fax_number": "732-906-0124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENASHE",
"first_name": "RICHARD",
"middle_name": "B",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2016-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MB04647400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NJ",
"identifier": "222987240",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "047830",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edison, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.