MR. NISSIM MENASHY (PHYSICIAN ASSISTANT) – Physician Assistant, NPI 1801199484

MR. NISSIM MENASHY (PHYSICIAN ASSISTANT) is a healthcare provider. based in Lakewood, New Jersey. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PHYSICIAN ASSISTANT. They hold a License No. 25MP00251000 (NJ). The NPI Number for MR. NISSIM MENASHY (PHYSICIAN ASSISTANT) is 1801199484

Main info

Male
Sole Proprietor
16 Years Of Experience
Name
MR. NISSIM MENASHY (PHYSICIAN ASSISTANT)
NPI
1801199484
Phone
(732) 552-4488
Address
30 IROQUOIS PL
Enumeration Date
21 December 2010
Last Update Date
9 February 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7182103110
Graduation Year
2010 (16 years ago)
PAC ID
0244415149
Group Practice PAC ID
6709185408
Professional Enrollment ID
I20110419000386
Address ID
NY112242615BR1419XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

3,578 PHYSICIAN ASSISTANT in NJ

Provider Addresses for MR. NISSIM MENASHY (PHYSICIAN ASSISTANT)

  • 30 IROQUOIS PL

    LAKEWOOD, NJ 087011134

    Phone: (732) 552-4488

    Type: Mailing

  • 27 S COOKS BRIDGE RD

    SUITE 2-2

    JACKSON, NJ 085272524

    Phone: (732) 370-4222

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-04-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110419000386IPhysician AssistantNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes10373$0
99203New patient office or other outpatient visit, 30-44 minutes3232$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)2925$0
87651Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique2724$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)2523$0
View full utilization report →

Insurance plans in this area (ZIP 08701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709185408View full group profile
NameSpecialtyState
Nurse PractitionerMD
Nurse PractitionerNY
O B S T E T R I C S/ G Y N E C O L O G YNY
Clinical Social WorkerNY
P O D I A T R YNY
Nurse PractitionerNY
Internal Medicine, Pediatric MedicineNY
Internal MedicineNY
Internal MedicineNY
Internal MedicineNY

Reviews

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Frequently asked questions

What is the 10-digit NPI for MR. NISSIM MENASHY (PHYSICIAN ASSISTANT)?
MR. NISSIM MENASHY (PHYSICIAN ASSISTANT) — NPI 1801199484 — is the standard way to identify this listing.
Does the file indicate MR. NISSIM MENASHY (PHYSICIAN ASSISTANT) is practicing under active NPI?
Directory data currently reports MR. NISSIM MENASHY (PHYSICIAN ASSISTANT) as active.
What healthcare role does MR. NISSIM MENASHY (PHYSICIAN ASSISTANT) hold?
Scheduling teams often label MR. NISSIM MENASHY (PHYSICIAN ASSISTANT) under Physician Assistant. Clinical services aligned with this taxonomy classification.
Does MR. NISSIM MENASHY (PHYSICIAN ASSISTANT) list a practice location?
Patients near Lakewood, New Jersey may find MR. NISSIM MENASHY (PHYSICIAN ASSISTANT) in results; validate coverage separately.
Why does MR. NISSIM MENASHY (PHYSICIAN ASSISTANT) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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