Geetha Menon Medical PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

234465 Issued in NY

Legal business name

GEETHA MENON MEDICAL PC

Practice address

1983 Marcus Ave Ste E132
Lake Success, NY 11042-1030

Phone

(516) 216-1781

NPI assigned

Apr 16, 2009

Last updated

Jun 16, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Geetha Menon, M.D.NPI 1467598615

Title

President

Phone

(516) 216-1781

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Geetha Menon, MD

  • Psychiatry Physician
  • Glen Oaks, NY
  • NPI 1467598615
  Medicare reassignment NPD Authorized official
• John Benjamin, M.D.

  • Psychiatry Physician
  • New Hyde Park, NY
  • NPI 1275611220
  NPD (past)

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1437392693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 MARCUS AVE STE E132",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "110421030",
            "telephone_number": "516-216-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1983 MARCUS AVE STE E132",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "110421030",
            "telephone_number": "516-216-1781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEETHA MENON MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-16",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "MENON",
        "authorized_official_first_name": "GEETHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-216-1781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "234465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE LIC",
            "identifier": "234465",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine S Freeman, MD
• Armand Friedel, MD
• Elzbieta Galanty, MS,RN, ANP-BC
• Elizabeth A Gallegra, O.T.
• Francisco Antonio Garcia-Moreno, MD
• Gelardina Gelsomino, SLP
• General Healthcare Resources Inc.
• Anna George, NP
• Teresa Gibbons, ANP
• Louis Gleckel, MD

• Psychiatry Physician in Lake Success, NY
• Providers in Lake Success, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.