Menkes, Leo
Menkes, Leo is an individual health care provider with primary practice located at 268 Martin Luther King Blvd. , Newark NJ 07102-0000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Menkes, Leo can be contacted via phone (973) 877-5000.Contact Information
Primary practice address
268 Martin Luther King Blvd.
Newark NJ 07102-0000
Phone: (973) 877-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 243528 | New York |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 243528 | New York |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MB08679900 | New Jersey |
Profile Details
| NPI number | 1861661704 |
|---|---|
| LBN Legal business name | Menkes, Leo |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 25th, 2008 |
| Last updated | Sep 26th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861661704 | NPPES |
| New Jersey | Other | P00829596 | RR MEDICARE |
| New Jersey | MEDICAID | 0223336 | RR MEDICARE |
| New Jersey | Other | 3768498000 | RR MEDICARE |
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