Rakesh Menon, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

212799 Issued in NY

Practice address

187 Conklin Ave
Brooklyn, NY 11236-3727

Phone

(718) 408-4949

Fax

(718) 257-0505

NPI assigned

Apr 6, 2006

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 1

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

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

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.

• Apollo Medical, P.C.

  • Pediatrics Physician
  • Brooklyn, NY
  • NPI 1033359385
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1891757407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 CONKLIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363727",
            "telephone_number": "718-408-4949",
            "fax_number": "718-257-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 CONKLIN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363727",
            "telephone_number": "718-408-4949",
            "fax_number": "718-257-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENON",
        "first_name": "RAKESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "212799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01990909",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheyva Menkes, RN
• Natalie Menna
• Tiffany Mennella, LMSW
• Anjali M Menon, LMSW
• Olesya Menon
• Rekha Menon, M.D.
• Menorah Home & Hospital for the Aged & Infirm
• Menorah Home and Hospital Adult Day Program
• Menorah Home and Hospital Adult Day Program
• Menorah Home and Hospital for Aged and Infirm

• Pediatrics Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.