Individual provider Active NPI

Kristin Menegio, COTA/L

  • Occupational Medicine Physician
  • Castleton, NY
National Provider Identifier
1942454954
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
001805-1 Issued in NY
Practice address
2500 Pond VW
Suite 102a
Castleton, NY 12033-9750
Phone
(518) 477-6072
Fax
(518) 477-6074
NPI assigned
Nov 5, 2008
Last updated
Nov 5, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 001805-1 NY Primary

Addresses

Primary practice location

2500 Pond VW
Suite 102a
Castleton, NY 12033-9750

Mailing address

PO Box 230
Chatham, NY 12037-0230
Phone (518) 821-2186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
001805-1NYMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Story Place Preschool, Inc. Past Accepting new patients
Story Place Preschool Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225843200000",
    "number": "1942454954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 230",
            "city": "CHATHAM",
            "state": "NY",
            "postal_code": "120370230",
            "telephone_number": "518-821-2186",
            "fax_number": "518-477-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 POND VW",
            "address_2": "SUITE 102A",
            "city": "CASTLETON",
            "state": "NY",
            "postal_code": "120339750",
            "telephone_number": "518-477-6072",
            "fax_number": "518-477-6074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENEGIO",
        "first_name": "KRISTIN",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NY",
            "license": "001805-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castleton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.