Active NPI
Apollo Medical, P.C.
- Pediatrics Physician
- Brooklyn, NY
National Provider Identifier
1033359385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 212799
- Legal business name
- APOLLO MEDICAL, P.C.
- Practice address
- 1340 Rockaway Pkwy
Brooklyn, NY 11236-2339 - Phone
- (718) 408-4949
- Fax
- (718) 257-0505
- NPI assigned
- Feb 26, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rakesh Menon, M.D.
- Title
- Owner
- Phone
- (718) 408-4949
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 212799 | NY | Primary |
Addresses
Primary practice location
1340 Rockaway Pkwy
Brooklyn, NY 11236-2339
Mailing address
1340 Rockaway Pkwy
Brooklyn, NY 11236-2339
Phone (718) 408-4949
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Brooklyn, NY
- NPI 1891757407
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1508166026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235606400000",
"number": "1033359385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1340 ROCKAWAY PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112362339",
"telephone_number": "718-408-4949",
"fax_number": "718-257-0505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1340 ROCKAWAY PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112362339",
"telephone_number": "718-408-4949",
"fax_number": "718-257-0505"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APOLLO MEDICAL, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-26",
"last_updated": "2009-02-26",
"status": "A",
"authorized_official_last_name": "MENON",
"authorized_official_first_name": "RAKESH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-408-4949",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "NY",
"license": "212799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.