Individual provider Active NPI

Michael Merenstein, DPM

  • Primary Podiatric Medicine Podiatrist
  • Bronx, NY
National Provider Identifier
1922173350
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
N003955 Issued in NY
Practice address
3636 Fieldston Rd
Suite 1J
Bronx, NY 10463-2034
Phone
(718) 548-6732
Fax
(718) 548-3819
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X N003955 NY Primary

Addresses

Primary practice location

3636 Fieldston Rd
Suite 1J
Bronx, NY 10463-2034

Mailing address

3636 Fieldston Rd
Suite 1J
Bronx, NY 10463-2034
Phone (718) 548-6732

Other identifiers 1

IdentifierTypeStateIssuer
00954834MedicaidNY

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040301000823 NY Practitioner - Podiatry 9739076290 Practice locations: Bronx, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3636 Fieldston Rd
Apt 1J
Bronx, NY 10463-2053
Phone (718) 548-6732

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue21
Removal of skin lesions1-10
Removal of nail tissue684
Removal or shaving of skin growth150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N003955NYMDPrimary Podiatric Medicine Podiatrist

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207267200000",
    "number": "1922173350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 FIELDSTON RD",
            "address_2": "SUITE 1J",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104632034",
            "telephone_number": "718-548-6732",
            "fax_number": "718-548-3819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 FIELDSTON RD",
            "address_2": "SUITE 1J",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104632034",
            "telephone_number": "718-548-6732",
            "fax_number": "718-548-3819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERENSTEIN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2008-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NY",
            "license": "N003955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00954834",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.