Individual provider Active NPI

Alex V. Meneshian, D.D.S., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Mineola, NY
National Provider Identifier
1396706412
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
051372 Issued in NY
Practice address
134 Mineola Blvd
3Rd Floor
Mineola, NY 11501-3959
Phone
(516) 294-9696
Fax
(516) 294-3531
NPI assigned
Mar 29, 2006
Last updated
Jan 11, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 051372 NY Primary

Addresses

Primary practice location

134 Mineola Blvd
3Rd Floor
Mineola, NY 11501-3959

Mailing address

134 Mineola Blvd
3Rd Floor
Mineola, NY 11501-3959
Phone (516) 294-9696

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041018000317 NY Practitioner - Oral SurgeryPractitioner - Maxillofacial Surgery 7012977721 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

134 Mineola Blvd
FL 3
Mineola, NY 11501-3959
Phone (516) 294-9696

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12
Removal of tissue34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
051372NYMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Oral & Maxillofacial Surgery, PC Oral and Maxillofacial Surgery CurrentSince Nov 1, 1995 Accepting new patients
Long Island Oral & Maxillofacial Surgery, PC Oral and Maxillofacial Surgery CurrentSince Nov 1, 1995 Accepting new patients

Locations

134 Mineola Blvd
Fl 3
Mineola, NY 11501
Phone (516) 294-9696

134 Mineola Blvd
Ste 302
Mineola, NY 11501
Phone (516) 294-9696

14 Vanderventer Ave
Ste 260
Prt Washingtn, NY 11050
Phone (516) 783-2042

Interoperability endpoints

  • Direct secure messaging: ameneshian307827@nyumc.direct-ci.com

Organizations & group practices 3

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200009600000",
    "number": "1396706412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 MINEOLA BLVD",
            "address_2": "3RD FLOOR",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013959",
            "telephone_number": "516-294-9696",
            "fax_number": "516-294-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 MINEOLA BLVD",
            "address_2": "3RD FLOOR",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013959",
            "telephone_number": "516-294-9696",
            "fax_number": "516-294-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENESHIAN",
        "first_name": "ALEX",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2008-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "051372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

Verify at the official NPI Registry.