Raul Mendoza, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

171383 Issued in NY

Practice address

135 Rockaway Tpke
Ste 103
Lawrence, NY 11559-1023

Phone

(516) 239-1616

Fax

(516) 239-2566

NPI assigned

Jun 22, 2005

Last updated

Jan 23, 2013By 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

Medicare fee-for-service enrollment

Enrolled in NY

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

Cardiovascular Disease (Cardiology)

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Shore Medical Group of the Mount Sinai School of MedicineGroup PAC ID 8921999087, 325 clinicians

St John's Medical Services PCGroup PAC ID 1850314865, 89 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St John's Episcopal Hospital at South Shore Hospital, Far Rockaway, NY, CCN 330395
• Mount Sinai South Nassau Hospital, Oceanside, NY, CCN 330198

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: raul.mendoza.1@14448.direct.athenahealth.com

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.

• North Shore Medical Group of the Mount Sinai School of Medicine

  dba Mount Sinai Doctors Long Island

  • Internal Medicine Physician
  • Greenlawn, NY
  • NPI 1275640609

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD
• St John's Medical Services PC

  • Internal Medicine Physician
  • Far Rockaway, NY
  • NPI 1023042173
  Medicare reassignment Care Compare group
• Mount Sinai School of Medicine

  dba Mount Sinai Marathon Medical

  • Internal Medicine Physician
  • Oceanside, NY
  • NPI 1508127531
  Medicare reassignment NPD
• Lawrence Cardiovascular Associates PC

  • Cardiovascular Disease Physician
  • Lawrence, NY
  • NPI 1225195001
  Authorized official Same address or phone
• Mount Sinai School of Medicine

  • Surgery Physician
  • Oceanside, NY
  • NPI 1326515578
  NPD
• Mount Sinai School of Medicine

  • Psychiatry Physician
  • Hempstead, NY
  • NPI 1508333956
  NPD
• North Shore Medical Group of the Mount Sinai School of Medicine

  dba North Shore Medical Group

  • Gastroenterology Physician
  • Huntington, NY
  • NPI 1164623278
  NPD
• North Shore Medical Group of the Mount Sinai School of Medicine

  • Internal Medicine Physician
  • Wantagh, NY
  • NPI 1992417323

  Cardiovascular Disease

  NPD
• Peninsula Cardiology, PC

  • Cardiovascular Disease Physician
  • Far Rockaway, NY
  • NPI 1871603811
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• South Nassau Communities Hospital

  • General Acute Care Hospital
  • Oceanside, NY
  • NPI 1922079094
  Care Compare affiliation

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1457357667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 HAMILTON ST",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115702037",
            "telephone_number": "516-594-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 ROCKAWAY TPKE",
            "address_2": "STE 103",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591023",
            "telephone_number": "516-239-1616",
            "fax_number": "516-239-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "RAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "171383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merlyn Mathew, D.O.
• Tom Mathew, P.T.
• Nicole Mayer
• Jose L. Melendez, C.A.S.A.C.
• Deanna Marie Melillo-Degia
• Joseph T Miccoli, RPA-C
• Michael Bernstein MDPC (Universal Health Services)
• Avital Miller, AGNP
• Biana Miller, PA
• Howard Saul Miller, DPM

• Cardiovascular Disease Physician in Lawrence, NY
• Providers in Lawrence, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.