Individual provider Active NPI

Daro Mendoza Largoza, MD

  • Research Study Specialist
  • New York, NY
National Provider Identifier
1063746014
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Research Study SpecialistTaxonomy code 1744R1102X
License
226955 Issued in NY
Practice address
50 West 34TH. St.
15B10
New York, NY 10001-2636
Phone
(347) 526-1810
NPI assigned
Sep 23, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Research Study Specialist 1744R1102X 226955 NY Primary

Addresses

Primary practice location

50 West 34TH. St.
15B10
New York, NY 10001-2636

Mailing address

50 W 34TH St Apt 15B10
New York, NY 10001-3086
Phone (347) 526-1810

Other names 1

  • Dr. Mendaro Mendoza Largoza Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160422000173 NY Order and Referring Only - General PracticePractitioner - General Practice 4486953619

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253664000000",
    "number": "1063746014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W 34TH ST APT 15B10",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013086",
            "telephone_number": "347-526-1810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 WEST 34TH. ST.",
            "address_2": "15B10",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100012636",
            "telephone_number": "347-526-1810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARGOZA",
        "first_name": "DARO",
        "middle_name": "MENDOZA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744R1102X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Study",
            "state": "NY",
            "license": "226955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MENDARO",
            "last_name": "LARGOZA",
            "middle_name": "MENDOZA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.