Luis A Mendoza, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

25MA02404700 Issued in NJ

Practice address

289 Monroe St
Passaic, NJ 07055-5209

Phone

(973) 473-5151

Fax

(973) 473-3331

NPI assigned

Nov 28, 2005

Sex

Male

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

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

Specialty

Ophthalmology

Education

Other

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Passaic Vision Center ,LLC.

  • Eyewear Supplier
  • Passaic, NJ
  • NPI 1194912154
  Medicare reassignment NPD Authorized official
• Passaic Vision Center

  • Ophthalmology Physician
  • Clifton, NJ
  • NPI 1770933012
  NPD
• Clifton Eye Care LLC

  • Ophthalmology Physician
  • Clifton, NJ
  • NPI 1699838672
  NPD (past)
• NJ Eye and Ear LLC

  • Ophthalmology Physician
  • Englewood, NJ
  • NPI 1356860811
  NPD (past)

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1225011950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1758",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070151758",
            "telephone_number": "973-473-5151",
            "fax_number": "973-473-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 MONROE ST",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070555209",
            "telephone_number": "973-473-5151",
            "fax_number": "973-473-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "LUIS",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA02404700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0365301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chaim Meisels
• Matthew Adam Meister, DDS
• Jennifer Mekkawy, LCSW
• Danica Camille Pangandoyon Menchavez, RN
• Joanne L Mendoza, PA-C
• Mental Health Assn of Essex and Morris
• Mer Associates LLC
• Mercy Care Medical Transport
• Nicole Yael Merensztein
• Andrea Meth-Thorburn, LCSW

• Ophthalmology Physician in Passaic, NJ
• Providers in Passaic, NJ by specialty
• Ophthalmology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.

Verify at the official NPI Registry.