Jorly Anne Samson Mendez, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

646635 Issued in NY

Practice address

43 Somerset St
Huntington Station, NY 11746-8421

Phone

(631) 520-8304

NPI assigned

Sep 24, 2011

Last updated

Oct 3, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1316822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317600000000",
    "number": "1053694125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 SOMERSET ST",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117468421",
            "telephone_number": "631-520-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 SOMERSET ST",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117468421",
            "telephone_number": "631-520-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "JORLY ANNE",
        "middle_name": "SAMSON",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-24",
        "last_updated": "2011-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "NY",
            "license": "646635",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "646635",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "646635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen M McKinnon, PHD
• Nitish Mehta, M.D.
• Veronica Melgar, MS SPECIAL EDUCATION
• Patricia A Meli- Pruzhansky
• Melville Medical Care
• Stephany Mendez
• Juana Mendoza
• Mental Health Counseling With Care PC
• Dunie G. Mentor
• Stephanie A Mercer, PA-C

• Home Health Registered Nurse in Huntington Station, NY
• Providers in Huntington Station, NY by specialty
• Home Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.