Nicole Yael Merensztein

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00531000 Issued in NJ

Practice address

293 Passaic St
Passaic, NJ 07055-5803

Phone

(973) 916-0002

Fax

(973) 916-0027

NPI assigned

Aug 9, 2019

Last updated

Aug 20, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: nicole.merensztein.1@31700.direct.athenahealth.com

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.

• Premier Cardiology Consultants, PLLC

  • Cardiovascular Disease Physician
  • New Hyde Park, NY
  • NPI 1497773394
  Medicare reassignment
• Leonardo N Saulle MD PC

  • Cardiovascular Disease Physician
  • New Hyde Park, NY
  • NPI 1831558436
  NPD (past)

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1558916163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 PASSAIC ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555803",
            "telephone_number": "973-916-0002",
            "fax_number": "973-916-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 PASSAIC ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555803",
            "telephone_number": "973-916-0002",
            "fax_number": "973-916-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERENSZTEIN",
        "first_name": "NICOLE",
        "middle_name": "YAEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-09",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00531000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne L Mendoza, PA-C
• Luis A Mendoza, MD
• Mental Health Assn of Essex and Morris
• Mer Associates LLC
• Mercy Care Medical Transport
• Andrea Meth-Thorburn, LCSW
• Michelle Johnson
• Michelle Lesher LLC
• Erica Mickens
• Mario Mico, M.D.

• Physician Assistant in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.