Individual provider Active NPI

David S. Menche, M.D.

  • Specialist
  • New York, NY
National Provider Identifier
1194736215
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
142591 Issued in NY
Practice address
521 Park Ave
New York, NY 10065-8140
Phone
(718) 369-8043
Fax
(718) 679-9598
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 142591 NY Primary

Addresses

Primary practice location

521 Park Ave
New York, NY 10065-8140

Mailing address

521 Park Ave
New York, NY 10065-8140
Phone (718) 369-8043

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
142591NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DME Orthosupplystore, LLC PastSince Apr 7, 2011 Accepting new patients
Metro Athletic Medicine & Fitness PC PastSince Apr 14, 2005 Accepting new patients

Organizations & group practices 2

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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1194736215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658140",
            "telephone_number": "718-369-8043",
            "fax_number": "718-679-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100658140",
            "telephone_number": "718-369-8043",
            "fax_number": "718-679-9598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENCHE",
        "first_name": "DAVID",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "142591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.