Active NPI
Merna Shenouda
- Physician Assistant
- Manhasset, NY
National Provider Identifier
1669184644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 444 Community Dr
Manhasset, NY 11030-3803 - Phone
- (516) 439-4707
- NPI assigned
- Dec 21, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | NY | Primary |
Addresses
Primary practice location
444 Community Dr
Manhasset, NY 11030-3803
Mailing address
8303 Doran Ave
Glendale, NY 11385-7728
Phone (347) 684-9543
Other practice location 1
8303 Doran Ave
Glendale, NY 11385-7728
Phone (347) 684-9543
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Touro Un Col of Osteopathic Medicine, New York, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
444 Community Dr
Suite 102
Manhasset, NY 11030-3820
Phone (516) 439-4707
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 033119 | NY | MD | Physical Therapist |
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.
-
- Dermatology Physician
- Manhasset, NY
- NPI 1730547506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1669184644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8303 DORAN AVE",
"city": "GLENDALE",
"state": "NY",
"postal_code": "113857728",
"telephone_number": "347-684-9543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 COMMUNITY DR",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110303803",
"telephone_number": "516-439-4707"
}
],
"practiceLocations": [
{
"address_1": "8303 Doran Ave",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "NY",
"postal_code": "113857728",
"country_code": "US",
"telephone_number": "347-684-9543",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHENOUDA",
"first_name": "MERNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-21",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manhasset, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.