Active NPI
Leonard Menaker, DPM
- Podiatrist
- Philadelphia, PA
National Provider Identifier
1073547410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC001390L
- Practice address
- 1628 John F Kennedy Blvd
Suite # 2100
Philadelphia, PA 19103-2125 - Phone
- (215) 563-9478
- Fax
- (215) 563-2301
- NPI assigned
- Jul 10, 2006
- Last updated
- Mar 10, 2008
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC001390L | PA | Primary |
Addresses
Primary practice location
1628 John F Kennedy Blvd
Suite # 2100
Philadelphia, PA 19103-2125
Mailing address
1628 John F Kennedy Blvd
Suite # 2100
Philadelphia, PA 19103-2125
Phone (215) 563-9478
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042204HUR | Other | PA | RENDERING PHYSICIAN PIN |
| 0032689000 | Other | PA | PERSONAL CHOICE |
| 0656649000 | Other | NJ | AMERIHEALTH |
| 090571 | Other | NJ | NATIONAL GOVERNMENT SERVI |
| ME042204 | Other | PA | HIGHMARK BLUE SHIELD |
Other names 1
- Dr. Leonard Menaker
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Linda G. Ziman DPM, PC | Podiatrist | Past | Accepting new patients |
| Highland Park Podiatry,PC | Podiatrist | Past | Accepting new patients |
| Leonard Menaker | Podiatrist | Past | Accepting new patients |
| Leonard Menaker | Podiatrist | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Podiatrist
- Upper Darby, PA
- NPI 1851405757
-
- Podiatrist
- Philadelphia, PA
- NPI 1326164211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205107200000",
"number": "1073547410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1628 JOHN F KENNEDY BLVD",
"address_2": "SUITE # 2100",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191032125",
"telephone_number": "215-563-9478",
"fax_number": "215-563-2301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1628 JOHN F KENNEDY BLVD",
"address_2": "SUITE # 2100",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191032125",
"telephone_number": "215-563-9478",
"fax_number": "215-563-2301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENAKER",
"first_name": "LEONARD",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2008-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC001390L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RENDERING PHYSICIAN PIN",
"identifier": "042204HUR",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE",
"identifier": "0032689000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0656649000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL GOVERNMENT SERVI",
"identifier": "090571",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "ME042204",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LEONARD",
"last_name": "MENAKER",
"prefix": "DR.",
"credential": "D.P.M.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.