Jorge G Mendez, MD

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

25MA08542000 Issued in NJ

Practice address

9 Crestfield Rd
Boonton, NJ 07005-9007

Phone

(908) 255-6200

NPI assigned

Apr 4, 2007

Last updated

Nov 26, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 5

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

Pain ManagementAlso: Anesthesiology

Education

Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

NJ Institute for Pain ReliefGroup PAC ID 0648622217, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/430a7ff7-9999-4cda-a19f-fb8b573704c8/
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jorge G. Mendez,MD. LLC

  dba Ivy League Pain Management Center

  • Pain Medicine (Anesthesiology) Physician
  • Boonton, NJ
  • NPI 1669870689
  Medicare reassignment NPD Authorized official
• Denville Medical Health Center & Sports Rehab P.C.

  • Chiropractor
  • Denville, NJ
  • NPI 1003836420
  Medicare reassignment NPD
• NJ Institute for Pain Relief

  • Orthopaedic Surgery Physician
  • Linden, NJ
  • NPI 1457011215
  Care Compare group NPD
• Gout Institute of America LLC

  • Pain Medicine (Anesthesiology) Physician
  • Belleville, NJ
  • NPI 1598294019
  Authorized official Same address or phone
• Ivy League Anesthesia LLC

  • Anesthesiology Physician
  • Dover, NJ
  • NPI 1417485616
  Authorized official Same address or phone
• American Anesthesiology of New Jersey, P.C.

  dba New Jersey Anesthesia Associates

  • Anesthesiology Physician
  • Florham Park, NJ
  • NPI 1386654036
  NPD (past)
• Interventional Pain Consultants of New Jersey, PA

  • Interventional Pain Medicine Physician
  • Belleville, NJ
  • NPI 1578743431
  NPD (past)
• Keystone Group, LLC

  • Anesthesiology Physician
  • Florham Park, NJ
  • NPI 1215179627
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1356463988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CRESTFIELD RD",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070059007",
            "telephone_number": "908-255-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CRESTFIELD RD",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070059007",
            "telephone_number": "908-255-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "JORGE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "25MA08542000",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A98830",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA08542000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A988300",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3394808",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR PTAN",
            "identifier": "P00855796",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A988300",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0194786",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marisa McAuliffe
• Alvin Joseph McCarthy, L.S.W.
• Stephanie Anne McGhee, LCSW
• Maureen McGreal, PH.D.
• Med Data Science Inc
• Thomas Michael Meringolo
• Mackenzie Taylor Merkel, PT
• Merry Heart Tally Ho LLC (Merry Heart of Boonton TWP.)
• Wilda Mesias, PH.D.
• Kenneth C Miller, RPH

• Pain Medicine (Anesthesiology) Physician in Boonton, NJ
• Providers in Boonton, NJ by specialty
• Pain Medicine (Anesthesiology) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.