Menardy Mental & Body Fitness

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MENARDY MENTAL & BODY FITNESS

Doing business as

Menardy Mental & Body Fitness

Practice address

120 N Main St Ste 101
New City, NY 10956-3748

Phone

(845) 634-4735

Fax

(845) 708-5010

NPI assigned

Aug 13, 2019

Organization subpart

No

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

Authorized official

Name

Krystle Gwendoylyn Perez

Title

Office Manager

Phone

(646) 866-0635

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Menardy Mental & Body Fitness Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1437705712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N MAIN ST STE 101",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563748",
            "telephone_number": "845-634-4735",
            "fax_number": "845-708-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N MAIN ST STE 101",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563748",
            "telephone_number": "845-634-4735",
            "fax_number": "845-708-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENARDY MENTAL & BODY FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "KRYSTLE",
        "authorized_official_middle_name": "GWENDOYLYN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "646-866-0635"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02916645",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://www.tkpsychinc.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "120 N Main St Ste 101",
            "city": "New City",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109563748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Menardy Mental & Body Fitness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rivka Medrez, MS SPED
• Maureen Meehan, FNP
• Meir Malmazada M.D. P.C.
• Leah Meiseles, LMHC
• Elsa Menaker, PH.D
• Paul Mercurio, M.D.
• Kemberlie Merores, RN
• Jeremy Mesias
• Danielle Nicole Metcalf, RN
• Michael a. Kalvert MD PC

• Community/Behavioral Health Agency in New City, NY
• Providers in New City, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.