Michael W. Mendelson, M.D., P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

110115 Issued in NY

Legal business name

MICHAEL W. MENDELSON, M.D., P.C.

Practice address

5360 Nesconset Hwy Ste B
Port Jefferson Station, NY 11776-2018

Phone

(631) 331-3200

Fax

(631) 331-3694

NPI assigned

Oct 22, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael W Mendelson, M.D.

Title

President

Phone

(631) 331-3200

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Debra Marie Mann, ANP

  • Adult Health Nurse Practitioner
  • Port Jefferson Station, NY
  • NPI 1467729657
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1023318292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5360 NESCONSET HWY STE B",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762018",
            "telephone_number": "631-331-3200",
            "fax_number": "631-331-3694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5360 NESCONSET HWY STE B",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117762018",
            "telephone_number": "631-331-3200",
            "fax_number": "631-331-3694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL W. MENDELSON, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "MENDELSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-331-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "110115",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "110115",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Elisabeth Mensinger, OTR
• Sue Mentis, D.O.
• Conan Merrick, L.M.T.
• Anne Cynthia Merveille, LPN
• Victoria Meyer
• Tiffany Marie Michalec
• Maria Grazia Migliore, LMSW
• Manisha Mignon
• Linda Rose Mildner
• Victoria Miles, PHD,HHP

• Internal Medicine Physician in Port Jefferson Station, NY
• Providers in Port Jefferson Station, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.