Nissim Menashy, PHYSICIAN ASSISTANT

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00251000 Issued in NJ

Practice address

27 S Cooks Bridge Rd
Suite 2-2
Jackson, NJ 08527-2524

Phone

(732) 370-4222

NPI assigned

Dec 21, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, NY2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Group practices

Community Health Initiatives, Inc.Group PAC ID 6709185408, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Monmouth Medical Center-Southern Campus Hospital, Lakewood, NJ, CCN 310084

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Community Health Initiatives, Inc.

  • Federally Qualified Health Center (FQHC)
  • Brooklyn, NY
  • NPI 1033581608
  Medicare reassignment Care Compare group
• Lakewood Immediate Care

  • Internal Medicine Physician
  • Lakewood, NJ
  • NPI 1548636301
  Medicare reassignment
• Somc Medical Group PC

  • Internal Medicine Physician
  • Jackson, NJ
  • NPI 1699004606
  Medicare reassignment
• Ocean County Family Care, P.a.

  • Internal Medicine Physician
  • Jackson, NJ
  • NPI 1821019787
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Monmouth Medical Center Inc

  • General Acute Care Hospital
  • Lakewood, NJ
  • NPI 1225133473
  Care Compare affiliation
• Monmouth Medical Center Inc

  • General Acute Care Hospital
  • Long Branch, NJ
  • NPI 1609983790
  Care Compare affiliation

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1801199484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 IROQUOIS PL",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011134",
            "telephone_number": "732-552-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 S COOKS BRIDGE RD",
            "address_2": "SUITE 2-2",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085272524",
            "telephone_number": "732-370-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENASHY",
        "first_name": "NISSIM",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-21",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00251000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darrell McQueen
• Alexis Medina, DPT
• Josue Gabriel Medina
• Reva Mehl, OTR
• Sheyly Mejia
• Mental Healthcare Connections of New Jersey LLC
• Adam Metz
• Sara Metzger, M.S. CCC SLP
• Nicholas Daniel Migliaccio, BCBA
• Patrycja Mika

• Physician Assistant in Jackson, NJ
• Providers in Jackson, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.

Verify at the official NPI Registry.