Ernesto Mendoza M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

152994 Issued in NY

Legal business name

ERNESTO MENDOZA M.D.

Practice address

4045 78TH St
Elmhurst, NY 11373-1152

Phone

(718) 397-9058

NPI assigned

Mar 17, 2010

Organization subpart

No

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

Authorized official

Name

Ernesto Mendoza, M.D.

Title

President

Phone

(718) 397-9058

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268784000000",
    "number": "1194049296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 78TH ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 78TH ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731152",
            "telephone_number": "718-397-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNESTO MENDOZA M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-03-17",
        "status": "A",
        "authorized_official_last_name": "MENDOZA",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-397-9058",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "152994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Epstein, LMSW
• Jade Yesim Erakman
• Esra Ergin, MS ED
• Alena M Erhardt
• Eric M. Huang DDS, PC
• Christina Ernst, OTR/L
• Jessica Escalante, PA
• Gloria P Escobar
• Mykiel Jericho Agustin Escobar
• Leyla C Escudero

• Surgery Physician in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.