Individual provider Active NPI

Kimberly Ann Parker Menzer, MA, APRN-BC

  • Adult Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1639118235
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
304216 Issued in NY
Practice address
223 E 34TH St
New York, NY 10016-4852
Phone
(646) 558-0802
Fax
(646) 385-7164
NPI assigned
Jun 6, 2006
Last updated
Nov 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 304216 NY Primary

Addresses

Primary practice location

223 E 34TH St
New York, NY 10016-4852

Mailing address

223 E 34TH St
New York, NY 10016-4852
Phone (646) 558-0802

Other identifiers 1

IdentifierTypeStateIssuer
304216OtherNYNP LICENSE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20061206000623 NY Practitioner - Nurse Practitioner 6507865227 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Jul 16, 2015 Accepting new patients
New York University CurrentSince Jul 16, 2015 Accepting new patients
New York Epilepsy and Neurology, PLLC PastSince Nov 23, 2004 Accepting new patients
Werner K Doyle M.D. PC Past Accepting new patients

Locations

223 E 34th St
New York, NY 10016
Phone (212) 263-8854

403 E 34th St
Fl 4
New York, NY 10016
Phone (212) 263-8870

550 1st Ave
New York, NY 10016
Phone (212) 263-3293

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447286400000",
    "number": "1639118235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 E 34TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164852",
            "telephone_number": "646-558-0802",
            "fax_number": "646-385-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 E 34TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100164852",
            "telephone_number": "646-558-0802",
            "fax_number": "646-385-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENZER",
        "first_name": "KIMBERLY ANN",
        "middle_name": "PARKER",
        "credential": "MA, APRN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2015-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "304216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NP LICENSE",
            "identifier": "304216",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.