John P Menchini, M.D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

101753 Issued in NY

Practice address

1131 Delaware Ave
Buffalo, NY 14209-1603

Phone

(716) 884-0230

Fax

(716) 884-2415

NPI assigned

Dec 13, 2005

Last updated

Nov 28, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1801871843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142091603",
            "telephone_number": "716-884-0230",
            "fax_number": "716-884-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142091603",
            "telephone_number": "716-884-0230",
            "fax_number": "716-884-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENCHINI",
        "first_name": "JOHN",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NY",
            "license": "101753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUC CROSS/CB",
            "identifier": "005062501",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010116801",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH ASSOC",
            "identifier": "1200231",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00652882",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Melo
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• Michele Memmo, M.S., R.D., C.D.N
• Aurangzeb Memon, M.B.B.S.
• Salim Haroon Memon, M.B.B.S.
• Jaideep Menda
• Eric Mark Mende
• Ariana Christine Mendel, DDS
• Kathryn Margaret Mendez, NP
• Calogera Leonarda Mendola, OD

• Pediatric Adolescent Medicine Physician in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Pediatric Adolescent Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.