Organization Active NPI

Leo Menkes Medical PC

  • Internal Medicine Physician
  • Woodmere, NY
National Provider Identifier
1962873430
Registry record updated Oct 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
253528 Issued in NY
Legal business name
LEO MENKES MEDICAL PC
Practice address
556 Amherst Dr
Woodmere, NY 11598-1002
Phone
(917) 204-2497
NPI assigned
Oct 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2015

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

Authorized official

Name
Leo Menkes, DO
Title
Medical Director
Phone
(917) 204-2497

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 253528 NY Primary

Addresses

Primary practice location

556 Amherst Dr
Woodmere, NY 11598-1002

Mailing address

556 Amherst Dr
Woodmere, NY 11598-1002
Phone (917) 204-2497

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444348800000",
    "number": "1962873430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 AMHERST DR",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981002",
            "telephone_number": "917-204-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 AMHERST DR",
            "city": "WOODMERE",
            "state": "NY",
            "postal_code": "115981002",
            "telephone_number": "917-204-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEO MENKES MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-09",
        "last_updated": "2015-10-09",
        "status": "A",
        "authorized_official_last_name": "MENKES",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "917-204-2497",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "253528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodmere, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; 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.