Individual provider Active NPI

Binyomin Mendel Nemon, D.O.

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1306823190
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
211250 Issued in NY
Practice address
580 Crown St Apt 611
Brooklyn, NY 11213-5358
Phone
(845) 791-9277
Fax
(845) 468-5860
NPI assigned
Dec 22, 2005
Last updated
Nov 8, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 211250 NY Primary

Addresses

Primary practice location

580 Crown St Apt 611
Brooklyn, NY 11213-5358

Mailing address

694 Myrtle Ave
PMB # 180
Brooklyn, NY 11205-3916
Phone (845) 791-9277

Other identifiers 1

IdentifierTypeStateIssuer
02407770MedicaidNY

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
I20040329001570 NY Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 9032001433 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ahava Medical and Rehabilitation Center, LLC CurrentSince Aug 1, 2020 Accepting new patients
A Merryland Operating LLC CurrentSince Aug 15, 2021 Accepting new patients
Jal 28 LLC PastSince Aug 15, 2021 Accepting new patients
Convalescence Medical PC PastSince Aug 2, 2020 Accepting new patients

Locations

16 Sumner Pl
Brooklyn, NY 11206
Phone (718) 336-9500

2555 Nostrand Ave
Brooklyn, NY 11210
Phone 7189518800108

2873 W 17th St
Fl 2
Brooklyn, NY 11224
Phone (718) 265-0900

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1306823190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "694 MYRTLE AVE",
            "address_2": "PMB # 180",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112053916",
            "telephone_number": "845-791-9277",
            "fax_number": "845-791-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 CROWN ST APT 611",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112135358",
            "telephone_number": "845-791-9277",
            "fax_number": "845-468-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMON",
        "first_name": "BINYOMIN",
        "middle_name": "MENDEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "211250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02407770",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.