Individual provider Active NPI

Wendy Jean Menneg, D.C.

  • Chiropractor
  • Cranford, NJ
National Provider Identifier
1295931921
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00628200 Issued in NJ
Practice address
190 North Ave E
Cranford, NJ 07016-2444
Phone
(908) 272-4007
Fax
(908) 272-5077
NPI assigned
Jun 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00628200 NJ Primary

Addresses

Primary practice location

190 North Ave E
Cranford, NJ 07016-2444

Mailing address

190 North Ave E
Cranford, NJ 07016-2444
Phone (908) 272-4007

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

State licenses

LicenseStateTypeSpecialty
38MC00628200NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Alex Lyubarsky DC PC Chiropractor CurrentSince Apr 25, 2005 Accepting new patients

Locations

126 South Ave E
Cranford, NJ 07016
Phone (908) 709-1903

190 North Ave E
Ste 1B
Cranford, NJ 07016
Phone (908) 272-4007

190 North Ave E
Cranford, NJ 07016
Phone (908) 272-4007

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": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1295931921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 NORTH AVE E",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162444",
            "telephone_number": "908-272-4007",
            "fax_number": "908-272-5077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 NORTH AVE E",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162444",
            "telephone_number": "908-272-4007",
            "fax_number": "908-272-5077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENNEG",
        "first_name": "WENDY",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00628200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.