Elsie Menendez

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

804171 Issued in NY

Practice address

27 Pheasant Valley Dr
Coram, NY 11727-2335

Phone

(631) 871-8484

NPI assigned

Dec 20, 2020

Sex

Female

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": "1608422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608422400000",
    "number": "1922694355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 PHEASANT VALLEY DR",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117272335",
            "telephone_number": "631-871-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 PHEASANT VALLEY DR",
            "city": "CORAM",
            "state": "NY",
            "postal_code": "117272335",
            "telephone_number": "631-871-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENENDEZ",
        "first_name": "ELSIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-20",
        "last_updated": "2020-12-20",
        "certification_date": "2020-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "804171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trenee McDaniel, RN
• Marisa McInerney, RN
• Jason Robert McKay, A.T.C.
• Keyana Sherrise McQueen, CRPA-P
• Christa Quilaneta Mendoza, MAS
• Stephanie Mevs
• Andre Mezilus
• Samantha Mezzolesta
• Joseph Michaels, M.D.
• Kim Michelli

• Registered Nurse in Coram, NY
• Providers in Coram, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2020; 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.