Individual provider Active NPI

Leonard Menaker, DPM

  • Podiatrist
  • Philadelphia, PA
National Provider Identifier
1073547410
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
SC001390L Issued in PA
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
042204HUROtherPARENDERING PHYSICIAN PIN
0032689000OtherPAPERSONAL CHOICE
0656649000OtherNJAMERIHEALTH
090571OtherNJNATIONAL GOVERNMENT SERVI
ME042204OtherPAHIGHMARK BLUE SHIELD

Other names 1

  • Dr. Leonard Menaker Professional name

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Linda G. Ziman DPM, PC Podiatrist Past Accepting new patients
Highland Park Podiatry,PC Podiatrist PastSince Aug 1, 2017 Accepting new patients
Leonard Menaker Podiatrist PastSince Jan 1, 1990 Accepting new patients
Leonard Menaker Podiatrist PastSince Jan 1, 1990 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.

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.

Verify at the official NPI Registry.