Allan Roque Mendez, PT, DPT, SCS

Primary specialty

SpecialistTaxonomy code 174400000X

License

40QA01338000 Issued in NJ

Practice address

140 Belmont Ave
Belleville, NJ 07109-1018

Phone

(973) 751-9230

NPI assigned

Jan 15, 2010

Last updated

Aug 8, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Healing Hands on Physical Therapy PC

  • Sports Physical Therapist
  • Belleville, NJ
  • NPI 1093489452
  Medicare reassignment NPD Authorized official
• Spine and Sports Medicine of Hohokus, LLC

  • Physical Therapist
  • Ho Ho Kus, NJ
  • NPI 1992828438
  Medicare reassignment NPD

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628380800000",
    "number": "1427389410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 BELMONT AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091018",
            "telephone_number": "973-751-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 BELMONT AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091018",
            "telephone_number": "973-751-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "ALLAN",
        "middle_name": "ROQUE",
        "credential": "PT, DPT, SCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-15",
        "last_updated": "2021-08-08",
        "certification_date": "2021-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "40QA01338000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "40QA01338000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alvin L Medina, PT
• Robyn Meglio, MD
• Ishani Mehta
• Jyoti Mehta, OTR CHT
• Michael J Mellace, RPH
• Carl F Mercurio, MD
• Lilibet M Mesa Dorta, DMD
• Michael & Lori Ippolito (The Philmore Associates)
• Michael M. Brand, M.D.,P.a.
• Midpoint Drugs, LLC

• Specialist in Belleville, NJ
• Providers in Belleville, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.