Active NPI
Enrique F Mejia, M.D.
- Pediatrics Physician
- South Richmond Hill, NY
National Provider Identifier
1144220047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 152955
- Practice address
- 13110 Liberty Ave
South Richmond Hill, NY 11419-3124 - Phone
- (718) 843-8844
- Fax
- (718) 843-7681
- NPI assigned
- Jul 21, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 152955 | NY | Primary |
Addresses
Primary practice location
13110 Liberty Ave
South Richmond Hill, NY 11419-3124
Mailing address
20622 Whitehall Ter
Queens Village, NY 11427-1721
Phone (718) 843-8844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00757171 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BFADCA/Endpoint/BFADCA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746576000000",
"number": "1144220047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20622 WHITEHALL TER",
"city": "QUEENS VILLAGE",
"state": "NY",
"postal_code": "114271721",
"telephone_number": "718-843-8844",
"fax_number": "718-843-7681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13110 LIBERTY AVE",
"city": "SOUTH RICHMOND HILL",
"state": "NY",
"postal_code": "114193124",
"telephone_number": "718-843-8844",
"fax_number": "718-843-7681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEJIA",
"first_name": "ENRIQUE",
"middle_name": "F",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-21",
"last_updated": "2025-05-07",
"certification_date": "2025-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "152955",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00757171",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Richmond Hill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.