Swathi Radhakrishnan Menon, M.D.

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

79-01 Broadway, Room A7-34,
Pediatric Department, Elmhurst Hospital Center
Queens, NY 11373

Phone

(718) 334-2156

Fax

(718) 334-2862

NPI assigned

Apr 19, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1124715388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79-01 BROADWAY, ROOM A7-34,",
            "address_2": "PEDIATRIC DEPARTMENT, ELMHURST HOSPITAL CENTER",
            "city": "QUEENS",
            "state": "NY",
            "postal_code": "11373",
            "telephone_number": "718-334-2156",
            "fax_number": "718-334-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79-01 BROADWAY, ROOM A7-34,",
            "address_2": "PEDIATRIC DEPARTMENT, ELMHURST HOSPITAL CENTER",
            "city": "QUEENS",
            "state": "NY",
            "postal_code": "11373",
            "telephone_number": "718-334-2156",
            "fax_number": "718-334-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENON",
        "first_name": "SWATHI RADHAKRISHNAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-10-19",
        "certification_date": "2023-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penelope Martinez Jimenez, M.D.
• Rachel Marie Massone
• Grace Meegan, DO
• Marcia Memminger, RN
• Sneha Satheesh Menon, P.T., M.S.
• Andreas Mentz, R.PH
• MMC at Saratoga Interfaith Family Shelter
• MMC at Saratoga Interfaith Family Shelter
• Fabienne Mondelus, PA-C
• Angella Montaque

• Student in an Organized Health Care Education/Training Program in Queens, NY
• Providers in Queens, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.