Individual provider Active NPI

Jean-Paul Menoscal, MD

  • Emergency Medicine Physician
  • Astoria, NY
National Provider Identifier
1386782225
Registry record updated Apr 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
228724 Issued in NY
Practice address
3274 Steinway St
Astoria, NY 11103-4006
Phone
(718) 721-0101
Fax
(718) 721-0122
NPI assigned
Feb 2, 2007
Last updated
Apr 2, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 228724 NY Primary

Addresses

Primary practice location

3274 Steinway St
Astoria, NY 11103-4006

Mailing address

3274 Steinway St
Astoria, NY 11103-4006
Phone (718) 721-0101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230922002294 FL Practitioner - Emergency Medicine 4688566581 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Albany Medical College of Union University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Contracting Services LLCGroup PAC ID 3971417825, 404 clinicians

Practice addresses (Care Compare)

10000 SW Innovation Way
Port Saint Lucie, FL 34987-2111
Phone (772) 287-5200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Sep 1, 2024 Accepting new patients
Gilford Sound Emergency Physicians LLC Emergency Medicine CurrentSince Jul 8, 2023 Accepting new patients
Downtown Bronx Medical Associates PC Past Accepting new patients
Keystone Medical Services of New York, PC Emergency Medicine Past Accepting new patients

Locations

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

10000 SW Innovation Way
Port St Lucie, FL 34987
Phone (772) 288-5853

1000 36th St
Vero Beach, FL 32960
Phone (772) 567-1942

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364860800000",
    "number": "1386782225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3274 STEINWAY ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034006",
            "telephone_number": "718-721-0101",
            "fax_number": "718-721-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3274 STEINWAY ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034006",
            "telephone_number": "718-721-0101",
            "fax_number": "718-721-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENOSCAL",
        "first_name": "JEAN-PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2013-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "228724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.