Nelson Menezes Vascular Specialist PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

194948 Issued in NY

Legal business name

NELSON MENEZES VASCULAR SPECIALIST PC

Practice address

240 Willoughby St
5A
Brooklyn, NY 11201-5465

Phone

(718) 250-6237

Fax

(718) 250-8460

NPI assigned

Jun 11, 2007

Last updated

Mar 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nelson Menezes, MDNPI 1255425948

Title

President

Phone

(718) 250-6237

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nelson Socorro Menezes, M.D.

  • Vascular Surgery Physician
  • Brooklyn, NY
  • NPI 1255425948
  Medicare reassignment NPD Authorized official
• Victoria Endow, MPH RDN CDN

  • Registered Dietitian
  • Brooklyn, NY
  • NPI 1962299438
  NPD (past)

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1063616589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 88TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112095523",
            "telephone_number": "718-250-6237",
            "fax_number": "718-238-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 WILLOUGHBY ST",
            "address_2": "5A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015465",
            "telephone_number": "718-250-6237",
            "fax_number": "718-250-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON MENEZES VASCULAR SPECIALIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-11",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "MENEZES",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-250-6237",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "194948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Nellissen
• Kimberly Nelon, MS, CCC-SLP
• Donna Nelson Chambers
• Eula Nelson Davis, FNP-BC
• Nelson Lacy Group LCSW PLLC
• Sophia Nelson-Boatswain
• Alec William Nelson
• Amanda C Nelson, LMSW
• Amanda Li Nelson, NP
• Ann Marie Nelson

• Vascular Surgery Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Vascular Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.

Verify at the official NPI Registry.