Iynez Mendez

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

26NR18113900 Issued in NJ

Practice address

6312 Browning Rd
Pennsauken, NJ 08109-1564

Phone

(856) 655-9550

NPI assigned

Jun 18, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mi Familia Practice

  • Adult Medicine Physician
  • Pennsauken, NJ
  • NPI 1568290765
  NPD Authorized official

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1467295113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6312 BROWNING RD APT 318",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081091578",
            "telephone_number": "856-655-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6312 BROWNING RD",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081091564",
            "telephone_number": "856-655-9550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "265 Route 73",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080433803",
            "country_code": "US",
            "telephone_number": "856-456-7343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "IYNEZ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NR18113900",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NJ",
            "license": "26NR18113900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Med Concepts, LLC.
• Gabriel Meister, PHARMD
• Lisa Joyce Melian
• Dorothy Melton
• Isaiah Mendez
• Brittany Mercado, RN
• Mi Familia Practice
• Michelle E Liggio
• Jeri Middlebrook, MSW, CSW
• Susan M Midili, APN

• Student in an Organized Health Care Education/Training Program in Pennsauken, NJ
• Providers in Pennsauken, NJ by specialty
• Student in an Organized Health Care Education/Training Program in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.