Individual provider Active NPI

Julio Mendoza, MD

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1184128282
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
309535 Issued in NY
Practice address
2633 Broadway
New York, NY 10025-5022
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Mar 22, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 309535 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

2633 Broadway
New York, NY 10025-5022

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (888) 663-6331

Other practice location 1

2298 Frederick Douglass Blvd
New York, NY 10027
Phone (212) 300-2836

Other practice location 2

4445 Magnolia Ave, GME Office
Riverside, CA 92501-4199
Phone (951) 788-3000

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
I20220804002963 NY Practitioner - Family Practice 3173905387 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Howard University College of Medicine, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2298 Frederick Douglass Blvd
New York, NY 10027-5324

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jan 1, 2026 Accepting new patients
Montefiore Medical Center CurrentSince Jan 1, 2026 Accepting new patients
Morningside Medical PLLC Family Medicine CurrentSince Dec 8, 2024 Accepting new patients
One Medical of Ny, P.C. Family Medicine CurrentSince Jan 1, 2026 Accepting new patients

Locations

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

111 E 210th St
Bronx, NY 10467

2633 Broadway
New York, NY 10025
Phone (212) 321-7001

919 3rd Ave
Ste 105
New York, NY 10022
Phone (212) 530-0650

2298 Frederick Douglass Blvd
New York, NY 10027
Phone (212) 300-2836

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

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": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1184128282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 BROADWAY",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255022",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2298 Frederick Douglass Blvd",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10027",
            "country_code": "US",
            "telephone_number": "212-300-2836",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4445 Magnolia Ave, GME Office",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925014199",
            "country_code": "US",
            "telephone_number": "951-788-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "JULIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-22",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "309535",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.