Individual provider Active NPI

Martin G. Mendelssohn, M.D.

  • Orthopaedic Surgery Physician
  • Aventura, FL
National Provider Identifier
1336477025
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME 021345 Issued in FL
Practice address
21150 Biscayne Blvd
Ste 104
Aventura, FL 33180-1226
Phone
(954) 431-5330
NPI assigned
Nov 18, 2009
Last updated
Nov 18, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME 021345 FL Primary
Orthopaedic Surgery Physician 207X00000X TM 00182 TX

Addresses

Primary practice location

21150 Biscayne Blvd
Ste 104
Aventura, FL 33180-1226

Mailing address

3801 NE 207TH St
Apt 2201
Aventura, FL 33180-4703
Phone (305) 931-9876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 021345FLMDOrthopaedic Surgery Physician
TM 00182TXMDOrthopaedic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1336477025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 NE 207TH ST",
            "address_2": "APT 2201",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331804703",
            "telephone_number": "305-931-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21150 BISCAYNE BLVD",
            "address_2": "STE 104",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801226",
            "telephone_number": "954-431-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDELSSOHN",
        "first_name": "MARTIN",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME 021345",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "TM 00182",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.