Remedios Valencia Mendegorin, M.D.

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

157276 Issued in NY

Practice address

998 Crooked Hill Rd
W Brentwood, NY 11717-1043

Phone

(631) 761-3500

Fax

(631) 761-3630

NPI assigned

Feb 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275672008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 ROSE DR",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541134",
            "telephone_number": "516-794-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 CROOKED HILL RD",
            "city": "W BRENTWOOD",
            "state": "NY",
            "postal_code": "117171043",
            "telephone_number": "631-761-3500",
            "fax_number": "631-761-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEGORIN",
        "first_name": "REMEDIOS",
        "middle_name": "VALENCIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NY",
            "license": "157276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Souyung Hsiao
• Lisa Joan Hunsucker, R.D., CDN
• Alicekutty Nelpura John, M.D
• Robert F Malcomson, R.N.
• Alan N Meisel, MD
• Vicki O'Brien, LCSW
• Karen M. O'Keefe, LCSW-R, CASAC
• Siby Paul
• Skyler Rosen, LCSW
• Sheela Sebastian

• Geriatric Psychiatry Physician in W Brentwood, NY
• Providers in W Brentwood, NY by specialty
• Geriatric Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.