Active NPI
Donna Deking Meyer, MD
- Pediatrics Physician
- Mendon, NY
National Provider Identifier
1366471955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 205863
- Practice address
- 30 Assembly Dr
Suite 101
Mendon, NY 14506-9602 - Phone
- (585) 624-4520
- Fax
- (585) 624-4829
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 205863 | NY | Primary |
Addresses
Primary practice location
30 Assembly Dr
Suite 101
Mendon, NY 14506-9602
Mailing address
30 Assembly Dr
Suite 101
Mendon, NY 14506-9602
Phone (585) 624-4520
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 205863 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mendon Pediatrics,PLLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366471955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 ASSEMBLY DR",
"address_2": "SUITE 101",
"city": "MENDON",
"state": "NY",
"postal_code": "145069602",
"telephone_number": "585-624-4520",
"fax_number": "585-624-4829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 ASSEMBLY DR",
"address_2": "SUITE 101",
"city": "MENDON",
"state": "NY",
"postal_code": "145069602",
"telephone_number": "585-624-4520",
"fax_number": "585-624-4829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "DONNA",
"middle_name": "DEKING",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "205863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mendon, NY
Sources for this page
- 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.