DANIELLA RENEE MENILLO NPI 1144751926

NPI Information

NPI: 1144751926
Provider Name: DANIELLA RENEE MENILLO
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
315 ROCHELLE AVE
ROCHELLE PARK, NJ
ZIP 07662
Phone: (201) 414-8089
Get Directions

Daniella Renee Menillo is a foot and ankle surgery podiatrist in Rochelle Park, NJ with 7 years of experience. Daniella Renee Menillo NPI is 1144751926. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2017

The provider's business location address is:

315 ROCHELLE AVE
ROCHELLE PARK, NJ
ZIP 07662-916
Phone: (201) 414-8089
Fax: (201) 843-1036

The NPI 1144751926 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 3/23/2017 and was last updated on 11/5/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213EP1101X	Podiatrist	Primary Podiatric Medicine	25MD00356800	NEW JERSEY	No
2	213ES0000X	Podiatrist	Sports Medicine	25MD00356800	NEW JERSEY	No
3	213ES0103X	Podiatrist	Foot & Ankle Surgery	25MD00356800	NEW JERSEY	Yes
4	213ES0131X	Podiatrist	Foot Surgery	25MD00356800	NEW JERSEY	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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