Menorah Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MENORAH MEDICAL SUPPLY INC

Practice address

505 Ditmas Ave
Brooklyn, NY 11218-5001

Phone

(347) 973-1111

Fax

(347) 973-2222

NPI assigned

Aug 24, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Mark Izrailov

Title

President

Phone

(347) 973-1111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1740707306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 DITMAS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112185001",
            "telephone_number": "347-973-1111",
            "fax_number": "347-973-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 DITMAS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112185001",
            "telephone_number": "347-973-1111",
            "fax_number": "347-973-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENORAH MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "IZRAILOV",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-973-1111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rekha Menon, M.D.
• Menorah Home & Hospital for the Aged & Infirm
• Menorah Home and Hospital Adult Day Program
• Menorah Home and Hospital Adult Day Program
• Menorah Home and Hospital for Aged and Infirm
• Patricia Mensa, LMSW
• Adjoa Peni Princess Mensah, NP
• Diana Attakora Mensah, NP
• Doreen Akosua Mensah, M.D.
• Paul Mensah, DDS

• Durable Medical Equipment & Medical Supplies in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.