Individual provider Active NPI

Leo Menkes, D.O.

  • Internal Medicine Physician
  • Newark, NJ
National Provider Identifier
1861661704
Registry record updated Sep 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MB08679900 Issued in NJ
Practice address
268 Martin Luther King Blvd.
Newark, NJ 07102-0000
Phone
(973) 877-5000
NPI assigned
Feb 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 243528 NY
General Practice Physician 208D00000X 243528 NY
Internal Medicine Physician 207R00000X 25MB08679900 NJ Primary

Addresses

Primary practice location

268 Martin Luther King Blvd.
Newark, NJ 07102-0000

Mailing address

66 West Gilbert Street
Red Bank, NJ 07701-4918
Phone (732) 212-0060

Other identifiers 3

IdentifierTypeStateIssuer
P00829596OtherNJRR MEDICARE
0223336MedicaidNJ
3768498000OtherNJAMERIHEALTH

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100415000164 NJ Practitioner - Internal Medicine 6709932502 Reassigns benefits to 1 organization
I20140417001351 NY Practitioner - Internal MedicinePractitioner - Emergency Medicine 6709932502 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Emergency Medical Associates LLCGroup PAC ID 0547334427, 20 clinicians
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians

Practice addresses (Care Compare)

1000 Galloping Hill Rd
Union, NJ 07083-7989
Phone (954) 939-5000

2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356

Hospital & facility affiliations

  • Mount Sinai South Nassau Hospital, Oceanside, NY, CCN 330198
  • Overlook Medical Center Hospital, Summit, NJ, CCN 310051
  • South Brooklyn Health Hospital, Brooklyn, NY, CCN 330196

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB08679900NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Emergency Medical Associates LLC CurrentSince Jan 1, 2023 Accepting new patients
Fpa Hospital Based CurrentSince Aug 1, 2014 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Jan 24, 2026 Accepting new patients
Fpa Hospital Based Current Accepting new patients
Island Emergency Medical Services, P.C. CurrentSince Feb 1, 2014 Accepting new patients
Coney Island Medical Practice Plan, P.C. General Practice CurrentSince Sep 16, 2011 Accepting new patients
Siena Emergency Medical Services, P.C. CurrentSince Feb 1, 2017 Accepting new patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers CurrentSince Apr 1, 2023 Accepting new patients
University Hospital of Brooklyn Suny Downstate Health Sciences Univers CurrentSince Apr 1, 2023 Accepting new patients
Fpa Hospital Based CurrentSince Aug 1, 2014 Accepting new patients
Island Medical House Doctor PC PastSince Feb 5, 2009 Accepting new patients
Island Medical Empire State, PLLC Internal Medicine Past Accepting new patients

Locations

1000 Galloping Hill Rd
Union, NJ 07083
Phone (908) 522-6280

3201 Kings Hwy
Brooklyn, NY 11234
Phone (718) 252-3000

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

470 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 421-1003

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: lmenkes476926@direct.ahsys.org
  • Direct secure messaging: lmenkes146377@nychhc.direct-ci.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632614400000",
    "number": "1861661704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 WEST GILBERT STREET",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077014918",
            "telephone_number": "732-212-0060",
            "fax_number": "732-212-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 MARTIN LUTHER KING BLVD.",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071020000",
            "telephone_number": "973-877-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENKES",
        "first_name": "LEO",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-25",
        "last_updated": "2021-09-26",
        "certification_date": "2021-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "243528",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "243528",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB08679900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00829596",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0223336",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "3768498000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.