Individual provider Active NPI

Michael Eric Marquez Mencias, MD

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Garden City, NY
National Provider Identifier
1184786246
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
240781 Issued in NY
Practice address
100 Quentin Roosevelt Blvd Ste 104
Garden City, NY 11530-4824
Phone
(516) 239-2400
Fax
(516) 536-0369
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X 240781 NY Primary

Addresses

Primary practice location

100 Quentin Roosevelt Blvd Ste 104
Garden City, NY 11530-4824

Mailing address

100 Quentin Roosevelt Blvd Ste 104
Garden City, NY 11530-4824
Phone (516) 239-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110609000022 NY Practitioner - Hospice/Palliative CarePractitioner - Internal Medicine 6800073347 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
MJHS Medical Associates CurrentSince Oct 31, 2016 Accepting new patients

Locations

55 Water St
Fl 46
New York, NY 10041
Phone (212) 440-1943

Interoperability endpoints

  • Direct secure messaging: mmencias1851624@nychhc.direct-ci.com
  • Direct secure messaging: mim9252@direct.nyp.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1184786246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 QUENTIN ROOSEVELT BLVD STE 104",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304824",
            "telephone_number": "516-239-2400",
            "fax_number": "516-536-0369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 QUENTIN ROOSEVELT BLVD STE 104",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115304824",
            "telephone_number": "516-239-2400",
            "fax_number": "516-536-0369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENCIAS",
        "first_name": "MICHAEL ERIC",
        "middle_name": "MARQUEZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "240781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, NY

Sources for this page

Verify at the official NPI Registry.