Ian Anthony Menewisch, RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

26NR15117700 Issued in NJ

Practice address

214 Camden Ave
Voorhees, NJ 08043-1312

Phone

(856) 366-6077

NPI assigned

Sep 16, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1831525385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 CAMDEN AVE",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431312",
            "telephone_number": "856-366-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 CAMDEN AVE",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431312",
            "telephone_number": "856-366-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENEWISCH",
        "first_name": "IAN",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-16",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NJ",
            "license": "26NR15117700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter Frank Melvin Jr II, PTA
• Melvin L. Moses MD Associates
• Isaac Mendelsohn, LCSW
• Darren Menditto, DO
• Ludmila Mendonca, MSW, LSW
• Elaine Menon
• Jose Mercado Jr.
• Meridian Acupuncture and Oriental Medicine
• Meridian Healthcare, Inc.
• Brittany Diane Merkh, PT, DPT

• Registered Nurse First Assistant in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Registered Nurse First Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.