Active NPI
Jonathan Scott Mendelson, MD
- Pulmonary Disease Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 63488
- Practice address
- 550 1St Ave
New York, NY 10016-6402 - Phone
- (212) 263-5506
- NPI assigned
- Apr 1, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD21404 | ME | |
| Internal Medicine Physician | 207R00000X | 273595 | NY | |
| Pulmonary Disease Physician | 207RP1001X | MD21404 | ME | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pulmonary Disease Physician | 207RP1001X | 63488 | CT | Primary |
| Pulmonary Disease Physician | 207RP1001X | 273595 | NY |
Addresses
Primary practice location
550 1St Ave
New York, NY 10016-6402
Mailing address
2800 Main St
Bridgeport, CT 06606-4201
Phone (475) 210-5242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- George Washington University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2800 Main St
Bridgeport, CT 06606-4201
Phone (475) 210-5242
Hospital & facility affiliations
- St Vincent'S Medical Center
- Griffin Hospital
- Waterbury Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.42 of 100
- Quality
- 83.36
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63488 | CT | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group Specialists LLC | Current | Accepting new patients | |
| Neighborhood Health, Inc. | Internal Medicine | Current | Accepting new patients |
| Mercy Hospital | Current | Accepting new patients | |
| Hartford Healthcare Medical Group Specialists, PLLC | Current | Accepting new patients | |
| Chest Medicine Associates, PA | Pulmonary Disease | Current | Accepting new patients |
| Mercy Hospital | Current | Accepting new patients |
Locations
2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366
2720 Main St
Ste 1
Bridgeport, CT 06606
1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579
100 Foden Rd
Ste 103
South Portland, ME 04106
Phone (207) 828-1122
100 Foden Rd
#103
South Portland, ME 04106
Phone (207) 828-1122
40 Park Rd
Westbrook, ME 04092
Phone (207) 857-8174
Interoperability endpoints
- jonathan.mendelson@xdr.hhchealthdirect.org
Organizations & group practices 6
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.
-
- Surgery Physician
- Hartford, CT
- NPI 1023584216
-
- Pulmonary Disease Physician
- South Portland, ME
- NPI 1437255247
-
- General Acute Care Hospital
- Portland, ME
- NPI 1629078712
-
- General Practice Physician
- Torrington, CT
- NPI 1043544489
Internal Medicine
-
- Customized Equipment (DME)
- Groton, CT
- NPI 1295367068
-
- Rural Health Clinic/Center
- Windham, ME
- NPI 1396496378
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waterbury, CT
- NPI 1477902641
-
- General Acute Care Hospital
- Bridgeport, CT
- NPI 1942224696
-
- General Acute Care Hospital
- Derby, CT
- NPI 1184639973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602028800000",
"number": "1134418908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 MAIN ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066064201",
"telephone_number": "475-210-5242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 1ST AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166402",
"telephone_number": "212-263-5506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDELSON",
"first_name": "JONATHAN",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-01",
"last_updated": "2020-10-07",
"certification_date": "2020-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ME",
"license": "MD21404",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "273595",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "ME",
"license": "MD21404",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CT",
"license": "63488",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "273595",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.