Mesidor Consulting Services LLC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

MESIDOR CONSULTING SERVICES LLC

Practice address

1400 Wantagh Ave
Wantagh, NY 11793-2257

Phone

(551) 275-5674

NPI assigned

Jan 31, 2023

Organization subpart

No

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

Authorized official

Name

Valessa Mesidor, NP

Title

Owner

Phone

(551) 275-5674

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675123200000",
    "number": "1457067688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 WANTAGH AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932257",
            "telephone_number": "551-275-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 WANTAGH AVE",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117932257",
            "telephone_number": "551-275-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESIDOR CONSULTING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A",
        "authorized_official_last_name": "MESIDOR",
        "authorized_official_first_name": "VALESSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "551-275-5674",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06885978",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul E McNamara Jr., PT, MSPT
• Medically Modern Inc.
• Stephanie Medrano
• Alyssa Brooke Merkle
• Cathleen Margaret Merrick, LPN
• Valessa Mesidor
• April Elizabeth Meyer, AGACNP
• Stephanie Michaleski
• Mid Island Audiology PLLC
• Desiree Elizabeth Milana, DDS

• Adult Health Nurse Practitioner in Wantagh, NY
• Providers in Wantagh, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.