Desiree Mendoza, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01578300 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

Aug 1, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NJ Chiropractic and Physical Therapy Wellness Center LLCGroup PAC ID 4981915550, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• NJ Chiropractic and Physical Therapy Wellness Center LLC

  • Chiropractor
  • Jersey City, NJ
  • NPI 1215327408

  NJ

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1249084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1184855652",
    "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": "DESIREE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-01",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01578300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENSE",
            "identifier": "40QA01578300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karla Mejia
• Rany Mekhail, MD
• Edward Philip Meller, DPM
• Rachel M Meltzer, MS, RD
• Kayleen Melvin
• Donald D. Mendoza, NCC, LPC, LCADC
• Gladys Maria Mendoza, FNP
• Medalya Mendoza
• Rummel G. Mendoza, D.C
• Luke Gregory Menken, DO

• All providers in Jersey City, NJ
• Physical Therapist in New Jersey

• 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.