Individual provider Active NPI

Joel Mendelson, MD

  • Allergy & Immunology Physician
  • Mountainside, NJ
National Provider Identifier
1477612950
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
25MA04738300 Issued in NJ
Practice address
1124 Springfield Ave
Mountainside, NJ 07092-2906
Phone
(908) 233-4477
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Infectious Diseases Physician 2080P0208X 25MA04738300 NJ
Allergy & Immunology Physician 207K00000X 25MA04738300 NJ Primary

Addresses

Primary practice location

1124 Springfield Ave
Mountainside, NJ 07092-2906

Mailing address

1124 Springfield Ave
Mountainside, NJ 07092-2906
Phone (908) 233-4477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20040113000738 NJ Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 7618877606 Reassigns benefits to 3 organizations
Practice locations: Mountainside, NJ

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Medical Group PAGroup PAC ID 5395642276, 1,204 clinicians
Barnabas Health Medical Group PCGroup PAC ID 9537316955, 1,027 clinicians

Practice addresses (Care Compare)

1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Phone (908) 273-4300

375 Mount Pleasant Ave
West Orange, NJ 07052-2750
Phone (973) 731-9442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group PA CurrentSince Mar 5, 2018 Accepting new patients
Summit Medical Group PA CurrentSince Mar 5, 2018 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jan 7, 2013 Accepting new patients
Rwjbh Observation Associates LLC CurrentSince Oct 28, 2023 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Jan 7, 2013 Accepting new patients

Locations

1 Diamond Hill Rd
Berkeley Heights, NJ 07922
Phone (908) 277-8868

355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

150 Floral Ave
New Providence, NJ 07974
Phone (908) 588-3890

201 Lyons Ave
Ste C9
Newark, NJ 07112
Phone (973) 926-7203

166 Lyons Ave
Newark, NJ 07112
Phone (973) 926-7300

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

375 Mount Pleasant Ave
West Orange, NJ 07052
Phone (973) 322-6900

375 Mount Pleasant Ave
Ste 105
West Orange, NJ 07052
Phone (973) 322-6900

Interoperability endpoints

  • Direct secure messaging: joel.mendelson.1@2983.direct.athenahealth.com
  • Direct secure messaging: jmendelson75350@epicdirect.rwjbh.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1477612950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 SPRINGFIELD AVE",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922906",
            "telephone_number": "908-233-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 SPRINGFIELD AVE",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922906",
            "telephone_number": "908-233-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDELSON",
        "first_name": "JOEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "NJ",
            "license": "25MA04738300",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NJ",
            "license": "25MA04738300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountainside, NJ

Sources for this page

Verify at the official NPI Registry.