Active NPI
Nelson Socorro Menezes, M.D.
- Vascular Surgery Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 194948
- Practice address
- 186 Joralemon St
Suite 1002
Brooklyn, NY 11201-4356 - Phone
- (718) 625-4100
- Fax
- (718) 625-4900
- NPI assigned
- Oct 3, 2006
- 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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 194948 | NY | Primary |
Addresses
Primary practice location
186 Joralemon St
Suite 1002
Brooklyn, NY 11201-4356
Mailing address
75 88TH Street
Brooklyn, NY 11209
Phone (718) 238-2249
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20-8604768 | Other | NY | EMPLOYER IDENTIFICATION N |
| 01788783 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
121 Dekalb Ave
Brooklyn, NY 11201-5425
Phone (718) 250-8000
Hospital & facility affiliations
- Brooklyn Hospital Center - Downtown Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nelson Menezes Vascular Specialist PC | Vascular Surgery | Current | Accepting new patients |
| Shreeji Anesthesia PC | Past | Accepting new patients | |
| The Brooklyn Hospital Center | Past | Accepting new patients | |
| Thoracic and Cardiovascular Surgery Association | Past | Accepting new patients |
Locations
86 Saint Felix St
Ste 11
Brooklyn, NY 11217
121 DeKalb Ave
Fl 5
Brooklyn, NY 11201
121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604
186 Joralemon St
Ste 1002
Brooklyn, NY 11201
Phone (718) 250-6237
186 Joralemon St
Brooklyn Heights, NY 11201
Phone (718) 852-1400
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- nmenezes@nelson.curemd.direct-ci.com
Organizations & group practices 5
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.
-
- Vascular Surgery Physician
- Brooklyn, NY
- NPI 1063616589
-
- Surgery Physician
- Brooklyn, NY
- NPI 1417183963
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1154368769
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1326046467
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Memphis, TN
- NPI 1356453773
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1326046467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342569600000",
"number": "1255425948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 88TH STREET",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11209",
"telephone_number": "718-238-2249",
"fax_number": "718-250-8460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "186 JORALEMON ST",
"address_2": "SUITE 1002",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112014356",
"telephone_number": "718-625-4100",
"fax_number": "718-625-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENEZES",
"first_name": "NELSON",
"middle_name": "SOCORRO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2012-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NY",
"license": "194948",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPLOYER IDENTIFICATION N",
"identifier": "20-8604768",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01788783",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.