Individual provider Active NPI

Rummel G. Mendoza, D.C

  • Chiropractor
  • Jersey City, NJ
National Provider Identifier
1114098480
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00704200 Issued in NJ
Practice address
3000 John F Kennedy Blvd Ste 316
Jersey City, NJ 07306-3817
Phone
(201) 963-0200
Fax
(201) 222-1364
NPI assigned
Nov 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00704200 NJ Primary

Addresses

Primary practice location

3000 John F Kennedy Blvd Ste 316
Jersey City, NJ 07306-3817

Mailing address

3000 John F Kennedy Blvd Ste 316
Jersey City, NJ 07306-3817
Phone (201) 963-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150304001716 NJ Practitioner - Chiropractic 4587980800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NJ Chiropractic and Physical Therapy Wellness Center LLC 2 clinicians

Practice addresses (Care Compare)

3000 John F Kennedy Blvd
Suite 316
Jersey City, NJ 07306-3817
Phone (201) 963-0200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00704200NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pinoy Chiropractic PC Chiropractor Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1114098480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 JOHN F KENNEDY BLVD STE 316",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063817",
            "telephone_number": "201-963-0200",
            "fax_number": "201-222-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 JOHN F KENNEDY BLVD STE 316",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063817",
            "telephone_number": "201-963-0200",
            "fax_number": "201-222-1364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "RUMMEL",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00704200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.