Healthcare Provider Details

I. General information

NPI: 1356803175
Provider Name (Legal Business Name): SHAYLA ALARA MENA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2019
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

164 MOUNT PLEASANT RD STE 200
NEWTOWN CT
06470-1477
US

IV. Provider business mailing address

777 MAIN ST UNIT 2503
HARTFORD CT
06103-2326
US

V. Phone/Fax

Practice location:
  • Phone: 203-885-1441
  • Fax:
Mailing address:
  • Phone: 517-643-0803
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number35.148222
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number78092
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberMD-55416
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: