Individual provider Active NPI

Corinne December Menn, D.O.

  • Obstetrics & Gynecology Physician
  • Chappaqua, NY
National Provider Identifier
1700907607
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
234864 Issued in NY
Practice address
16 S Bedford Rd
Suite 3E
Chappaqua, NY 10514-3464
Phone
(914) 238-0350
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 234864 NY Primary

Addresses

Primary practice location

16 S Bedford Rd
Suite 3E
Chappaqua, NY 10514-3464

Mailing address

16 S Bedford Rd
Suite 3E
Chappaqua, NY 10514-3464
Phone (914) 238-0350

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)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
234864NYMDObstetrics & Gynecology Physician

Interoperability endpoints

  • Direct secure messaging: corinne.menn@586801835737092.direct.elationemr.com
  • Direct secure messaging: drmenn@dcdmd-ny.direct.office.nextgen.com

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355443200000",
    "number": "1700907607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 S BEDFORD RD",
            "address_2": "SUITE 3E",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "105143464",
            "telephone_number": "914-238-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 S BEDFORD RD",
            "address_2": "SUITE 3E",
            "city": "CHAPPAQUA",
            "state": "NY",
            "postal_code": "105143464",
            "telephone_number": "914-238-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENN",
        "first_name": "CORINNE",
        "middle_name": "DECEMBER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2012-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "234864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chappaqua, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.