Larry W Menacker, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC001941L Issued in PA

Practice address

2416 E Allegheny Ave
Philadelphia, PA 19134-4403

Phone

(215) 843-2330

Fax

(215) 848-6760

NPI assigned

Apr 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Port Richmond Family Foot Care,PC

  • Podiatrist
  • Lumberton, NJ
  • NPI 1457381634

  PA

  Medicare reassignment
• Port Richmond Podiatry LLC.

  • Primary Podiatric Medicine Podiatrist
  • Philadelphia, PA
  • NPI 1841968302
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269475200000",
    "number": "1376509844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 E ALLEGHENY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191344403",
            "telephone_number": "215-843-2330",
            "fax_number": "215-848-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 E ALLEGHENY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191344403",
            "telephone_number": "215-843-2330",
            "fax_number": "215-848-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENACKER",
        "first_name": "LARRY",
        "middle_name": "W",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2010-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC001941L",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NJ",
            "license": "MD1184",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016086790004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mems Healthcare LLC
• Men & Women for Human Excellence, Inc.
• Men Makers LLC
• Jorge Luis Mena Toro
• Michelle Diana Mena, RD
• Leon B Menajovsky, M.D.
• Leonard Menaker, DPM
• Guerline Menard-Louis
• Menarini Silicon Biosystems, Inc.
• Oluwatobi Emmanuel Menawonu, NP

• Podiatrist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.