Individual provider Active NPI

Meneka Dave

  • Anesthesiology Physician
  • New York, NY
National Provider Identifier
1982022018
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
25MA1050330 Issued in NJ
Practice address
622 W 168TH St
PH5-133
New York, NY 10032-3720
Phone
(212) 305-3226
NPI assigned
Apr 5, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Anesthesiology Physician 207LP3000X 25MA1050330 NJ
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 25MA1050330 NJ Primary

Addresses

Primary practice location

622 W 168TH St
PH5-133
New York, NY 10032-3720

Mailing address

285 Davidson Ave
Ste 204
Somerset, NJ 08873-4153
Phone (732) 271-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20190821002337 NJ Practitioner - Anesthesiology 7113263823 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Missouri, Columbia School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Brunswick Anesthesia AssociatesGroup PAC ID 1951781335, 32 clinicians

Practice addresses (Care Compare)

254 Easton Ave
New Brunswick, NJ 08901-1766
Phone (732) 745-8600

Hospital & facility affiliations

  • Saint Peter'S University Hospital Hospital, New Brunswick, NJ, CCN 310070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA1050330NJMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health-RWJ Pediatric Critical Care Single Specialty CurrentSince Feb 25, 2021 Accepting new patients
Rutgers Health-RWJ Pediatric Critical Care Single Specialty CurrentSince Feb 25, 2021 Accepting new patients
New Brunswick Anesthesia Associates Single Specialty CurrentSince Dec 22, 2024 Accepting new patients
Parkway Anesthesia Associates LLC Single Specialty CurrentSince Mar 24, 2022 Accepting new patients
Sanjay D Rao MD LLC Single Specialty PastSince May 4, 2022 Accepting new patients

Locations

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

125 Paterson St
Ste 6140
New Brunswick, NJ 08901
Phone (732) 235-6230

1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887

240 Easton Ave
New Brunswick, NJ 08901
Phone (732) 339-7896

254 Easton Ave
New Brunswick, NJ 08901
Phone (732) 565-5453

7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

Interoperability endpoints

  • Direct secure messaging: mdave53707@epicdirect.rwjbh.org

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1396656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1982022018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 DAVIDSON AVE",
            "address_2": "STE 204",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088734153",
            "telephone_number": "732-271-1400",
            "fax_number": "732-271-3544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 W 168TH ST",
            "address_2": "PH5-133",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323720",
            "telephone_number": "212-305-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVE",
        "first_name": "MENEKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-05",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "NJ",
            "license": "25MA1050330",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA1050330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.