Individual provider Active NPI

Jenny Christina Menoscal, LPN

  • Licensed Practical Nurse
  • Richmond Hill, NY
National Provider Identifier
1508412784
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
326491 Issued in NY
Practice address
11606 Myrtle Ave FL 4
Richmond Hill, NY 11418-1748
Phone
(718) 215-1952
Fax
(718) 441-3701
NPI assigned
Aug 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 326491 NY Primary

Addresses

Primary practice location

11606 Myrtle Ave FL 4
Richmond Hill, NY 11418-1748

Mailing address

11606 Myrtle Ave FL 4
Richmond Hill, NY 11418-1748
Phone (718) 215-1952

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Federation of Organizations PastSince Aug 18, 2019 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1508412784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11606 MYRTLE AVE FL 4",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181748",
            "telephone_number": "718-215-1952",
            "fax_number": "718-441-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11606 MYRTLE AVE FL 4",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181748",
            "telephone_number": "718-215-1952",
            "fax_number": "718-441-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENOSCAL",
        "first_name": "JENNY",
        "middle_name": "CHRISTINA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "326491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.