Jose Mendiola, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00377800 Issued in NJ

Practice address

150 Flanagan Way
Secaucus, NJ 07094-3445

Phone

(732) 819-0725

NPI assigned

Oct 10, 2006

Last updated

Feb 29, 2008By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Qualcare Therapy Center Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Union, NJ
  • NPI 1184621484

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204243200000",
    "number": "1396833281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 FLANAGAN WAY",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070943445",
            "telephone_number": "732-819-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 FLANAGAN WAY",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070943445",
            "telephone_number": "732-819-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDIOLA",
        "first_name": "JOSE",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00377800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna M Meehan, DPT
• Karen Mehegan, DPT
• Pankti Mehta
• Melvin Jankolovits
• Carolina Mendez, PH.D.
• Luz Maria Meneses, APN
• Beata D Meszaros, MD
• Metabolic Health Medical Services, P.C. (MetaboliK Health)
• Metabolic Health Medical Services, P.C. (MetaboliK Health)
• Mha LLC (Meadowlands Hospital Medical Center)

• Physical Therapist in Secaucus, NJ
• Providers in Secaucus, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.