Serge Menkin, M.D.

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

25MA08003800 Issued in NJ

Practice address

311 Newark Ave
Jersey City, NJ 07302

Phone

(201) 533-0055

NPI assigned

Dec 21, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

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: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physical Medicine and RehabilitationAlso: Interventional Pain Management

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Center for Joint and Spine ReliefGroup PAC ID 3870755960, 5 clinicians

United Care Medical PLLCGroup PAC ID 6709069081, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Center for Joint and Spine Relief

  • Interventional Pain Medicine Physician
  • Jersey City, NJ
  • NPI 1205121316
  Medicare reassignment Care Compare group NPD Authorized official
• United Care Medical PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Staten Island, NY
  • NPI 1043452816
  Medicare reassignment Care Compare group NPD Authorized official
• Ther Center for Joint & Spine Relief

  • Chiropractor
  • Jersey City, NJ
  • NPI 1124424031
  NPD Authorized official
• Manalapan Medical Center PA PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Manalapan, NJ
  • NPI 1821225137
  Medicare reassignment
• NJ Spine Group, LLC

  • Orthopaedic Surgery of the Spine Physician
  • Eatontown, NJ
  • NPI 1083773857

  Sports Medicine

  NPD (past)

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1881670784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 N BEERS ST",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331516",
            "telephone_number": "732-226-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 NEWARK AVE",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07302",
            "telephone_number": "201-533-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENKIN",
        "first_name": "SERGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NJ",
            "license": "25MA08003800",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NJ",
            "license": "25MA08003800",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "247604",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "PA",
            "license": "MD423287",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NJ",
            "license": "25MA08003800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald D. Mendoza, NCC, LPC, LCADC
• Gladys Maria Mendoza, FNP
• Medalya Mendoza
• Rummel G. Mendoza, D.C
• Luke Gregory Menken, DO
• Irini D Mentakis, MD
• Mental Health and Addiction Center,
• Mental Health Harmony LLC
• Lorna Vivas Mercado, OT
• Mercy Home Health Agency

• Interventional Pain Medicine Physician in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Interventional Pain Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.