Katrina Mendoza, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

347913 Issued in NY

Practice address

560 Kenwood PL
Teaneck, NJ 07666-1650

Phone

(917) 324-5697

NPI assigned

May 16, 2024

Last updated

May 16, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1346099850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 KENWOOD PL",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661650",
            "telephone_number": "917-324-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 KENWOOD PL",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661650",
            "telephone_number": "917-324-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "KATRINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "347913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meikle Mobile Medical Support Services (Advanced Home Diagnostics)
• Winston M Meikle Sr.
• Darius Paris Melisaratos, MD
• Leanna Mellon
• John Mena, HIS
• Lynette Maria Mendoza, M.S., D.O.
• Rosemary B Mensah, DNP, APN, PMHNP-BC
• Mental Health Matters, LLC (Greg R. Ieraci)
• Meredith Kellman, LCSW LLC
• Metro Anesthesia of NJ LLC

• Family Nurse Practitioner in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.