NPIMap

Individual provider Active NPI

Mike Menla, MD

  • Family Medicine Physician
  • Yonkers, NY
National Provider Identifier
1548668122
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
274942 Issued in NY
Practice address
415 South Broadway
St Josephs Outpatient Clinic
Yonkers, NY 10705
Phone
(914) 623-5400
NPI assigned
Dec 12, 2014
Last updated
Apr 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 274942 NY Primary
Internal Medicine Physician 207R00000X 274942 NY

Addresses

Primary practice location

415 South Broadway
St Josephs Outpatient Clinic
Yonkers, NY 10705

Mailing address

415 South Broadway
Yonkers, NY 10705

Other practice location 1

945B Coney Island Ave
Brooklyn, NY 11230-1463
Phone (929) 375-3633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150217000064 NY Practitioner - Family Practice 2769707686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Joseph's Hospital YonkersGroup PAC ID 0547156176, 59 clinicians

Practice addresses (Care Compare)

107 S Broadway
Yonkers, NY 10701-4006
Phone (914) 378-7110

127 S Broadway
Yonkers, NY 10701-4006
Phone (914) 378-8513

415 S Broadway
Yonkers, NY 10705-2302
Phone (914) 623-5400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
274942NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's Hospital & Medical Center CurrentSince Nov 17, 2014 Accepting new patients
St. Joseph's Hospital Yonkers Current Accepting new patients
St Josephs Hospital Yonkers CurrentSince Nov 17, 2014 Accepting new patients
St. Joseph's Hospital & Medical Center Family Medicine Past Accepting new patients

Locations

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

415 S Broadway
Yonkers, NY 10705
Phone (914) 623-5400

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: mike.menla.p1@direct.saintjosephs.nextgenshare.com

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 5

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": "1418342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1548668122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 SOUTH BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 SOUTH BROADWAY",
            "address_2": "ST JOSEPHS OUTPATIENT CLINIC",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "10705",
            "telephone_number": "914-623-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "945B Coney Island Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112301463",
            "country_code": "US",
            "telephone_number": "929-375-3633",
            "fax_number": "929-234-3604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENLA",
        "first_name": "MIKE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-12",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "274942",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "274942",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.