Active NPI
Arun Ramdas Menon, MD
- Urology Physician
- Buffalo, NY
National Provider Identifier
1568940195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 293590
- Practice address
- 665 Elm St
Buffalo, NY 14203-1104 - Phone
- (716) 238-4757
- NPI assigned
- Aug 6, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 293590 | NY | Primary |
Addresses
Primary practice location
665 Elm St
Buffalo, NY 14203-1104
Mailing address
905 Delaware Ave Apt 1
Buffalo, NY 14209-2034
Phone (716) 238-4757
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 293590 | Other | NY | NYS LICENSE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611187200000",
"number": "1568940195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 DELAWARE AVE APT 1",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142092034",
"telephone_number": "716-238-4757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "665 ELM ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142031104",
"telephone_number": "716-238-4757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENON",
"first_name": "ARUN",
"middle_name": "RAMDAS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-06",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "293590",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LICENSE",
"identifier": "293590",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.