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Deactivated NPI 1649202086 Deactivated / Inactive NPI Male Practitioner

Dr. Pedro G Meneses , MD

Plastic Surgery • Great Neck, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Pedro Meneses has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 07, 2006
NPI Deactivation Date October 12, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Pedro Meneses, MD was a registered Plastic Surgery practicing in Great Neck, NY. Throughout an active medical career spanning 16 years, Dr. Meneses provided care at the practice location at 833 NORTHERN BLVD until profile deactivation on 2022-10-12.

Practice Location & Contact Primary Location

Practice Address

833 Northern Blvd
Suite D-105

Great Neck, NY 110215322

Telephone 5164988400
Fax 5164988404
Associated Practice Facility / Clinic
🏢 New York Orthopedic And Spine Facility NPI 1851482905

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Great Neck, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.8 Yrs
State Avg: 30.6 Yrs
Regional Practice Density
12 Specialists

Practicing in Great Neck, NY (476 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License NY 002588

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Dr. Jonathan Bank , MD

Plastic Surgery

NPI 1083860951

Doctor of Medicine (M.D.)

Eva Taczanowski Bersin , PA

Physician Assistant - Surgical

NPI 1164703872

Physician Assistant

Dr. David Light , MD

Surgery - Plastic and Reconstructive Surgery

NPI 1366647828

Doctor of Medicine (M.D.)

Dr. Ron Israeli , MD

Plastic Surgery

NPI 1396777025

Doctor of Medicine (M.D.)

Katherine Beam , PA

Physician Assistant - Surgical

NPI 1407232390

Physician Assistant

Morgan Mccartan , PA

Physician Assistant

NPI 1477402212

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 12, 2022

Record deactivated on October 12, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 833 NORTHERN BLVD, SUITE D-105, GREAT NECK, NY 110215322 (Tel: 5164988400)

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Updated Business Mailing Address July 08, 2007

Registered at 833 NORTHERN BLVD, SUITE D-105, GREAT NECK, NY 110215322 (Tel: 5164988400)

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Provider Name / Credentials Updated July 08, 2007

Recorded as PEDRO MENESES, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Plastic Surgery (License #002588 in NY)

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Initial NPI Registration & Enumeration July 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649202086
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2006
Last Update: July 08, 2007
Deactivation Date: October 12, 2022

Mailing Address

833 Northern Blvd, Suite D-105

Great Neck, NY 110215322

Phone: 5164988400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.