Organization Active NPI

Jose M Mendez MD PC

  • Pediatrics Physician
  • Jackson Heights, NY
National Provider Identifier
1548428741
Registry record updated May 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
225192 Issued in NY
Legal business name
JOSE M MENDEZ MD PC
Practice address
7902 Roosevelt Ave
Suite B
Jackson Heights, NY 11372-6717
Phone
(718) 779-3333
NPI assigned
May 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2008

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

Authorized official

Name
Dr. Jose M Mendez, MD
Title
President
Phone
(718) 779-3333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 225192 NY Primary

Addresses

Primary practice location

7902 Roosevelt Ave
Suite B
Jackson Heights, NY 11372-6717

Mailing address

7902 Roosevelt Ave
Suite B
Jackson Heights, NY 11372-6717
Phone (718) 779-3333

Other names 1

  • UNIVERSAL PEDIATRICS Doing business as

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": "1211760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211760000000",
    "number": "1548428741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7902 ROOSEVELT AVE",
            "address_2": "SUITE B",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726717",
            "telephone_number": "718-779-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7902 ROOSEVELT AVE",
            "address_2": "SUITE B",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726717",
            "telephone_number": "718-779-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE M MENDEZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-26",
        "last_updated": "2008-05-26",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-779-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "225192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNIVERSAL PEDIATRICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2008; 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.