Organization Active NPI

Luis Mendez Castellanos MD PC

  • Adult Day Care Clinic/Center
  • New York, NY
National Provider Identifier
1508137803
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
196245 Issued in NY
Legal business name
LUIS MENDEZ CASTELLANOS MD PC
Practice address
336 Fort Washington Ave
Suite 1-F
New York, NY 10033-6803
Phone
(212) 740-8231
Fax
(212) 740-3420
NPI assigned
Jan 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Authorized official

Name
Dr. Luis Rafael Mendez, MD
Title
President
Phone
(212) 740-8231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 196245 NY Primary

Addresses

Primary practice location

336 Fort Washington Ave
Suite 1-F
New York, NY 10033-6803

Mailing address

336 Fort Washington Ave
Suite 1-F
New York, NY 10033-6803
Phone (212) 740-8231

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120411000463 NY Part B Supplier - Clinic/Group Practice 7810158292 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1508137803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 FORT WASHINGTON AVE",
            "address_2": "SUITE 1-F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100336803",
            "telephone_number": "212-740-8231",
            "fax_number": "212-740-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 FORT WASHINGTON AVE",
            "address_2": "SUITE 1-F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100336803",
            "telephone_number": "212-740-8231",
            "fax_number": "212-740-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS MENDEZ CASTELLANOS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "RAFAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-740-8231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NY",
            "license": "196245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.