Active NPI
Alec Menge
- Massage Therapist
- Brooklyn, NY
National Provider Identifier
1265201875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 026605-01
- Practice address
- 9711 3Rd Ave
Brooklyn, NY 11209-7717 - Phone
- (702) 907-7171
- NPI assigned
- Dec 22, 2023
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 026605-01 | NY | Primary |
Addresses
Primary practice location
9711 3Rd Ave
Brooklyn, NY 11209-7717
Mailing address
9508 Avenue L
Brooklyn, NY 11236-4811
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026605-01 | NY | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bonafide Acupuncture | Single Specialty | Current | Accepting new patients |
Locations
9508 Avenue L
Brooklyn, NY 11236
Phone (718) 444-3126
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": "1703203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703203200000",
"number": "1265201875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9508 AVENUE L",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112364811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9711 3RD AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112097717",
"telephone_number": "702-907-7171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENGE",
"first_name": "ALEC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-12-22",
"last_updated": "2023-12-22",
"certification_date": "2023-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "NY",
"license": "026605-01",
"primary": true
}
],
"identifiers": [],
"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 Dec 22, 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.