Frederic a Mendelsohn Neurodiagnostics Inc

Primary specialty

Neuroradiology PhysicianTaxonomy code 2085N0700X

Legal business name

FREDERIC A MENDELSOHN NEURODIAGNOSTICS INC

Practice address

30 Seaside Dr
Port Jefferson, NY 11777-1132

Phone

(631) 987-3705

NPI assigned

Jan 30, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Frederic A Mendelsohn, MDNPI 1336247691

Title

Owner/MD

Phone

(631) 987-3705

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Frederic A Mendelsohn, MD

  • Neurology Physician
  • Ronkonkoma, NY
  • NPI 1336247691
  NPD (past) Authorized official

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548806400000",
    "number": "1568926822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 SEASIDE DR",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771132",
            "telephone_number": "631-987-3705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SEASIDE DR",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771132",
            "telephone_number": "631-987-3705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERIC A MENDELSOHN NEURODIAGNOSTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-30",
        "last_updated": "2019-01-30",
        "status": "A",
        "authorized_official_last_name": "MENDELSOHN",
        "authorized_official_first_name": "FREDERIC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "631-987-3705",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Neuroradiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00655156",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Fracchia, MD
• Francis M. Francin, D.O.
• Matthew R Franco, OTR/L
• Frank P Lunati Jr MD PC
• Franklin E. Peterson DDS
• Freed, Scherz, Kleinberg, Nussbaum,Festa, M.D. LLP
• Tanya Patrice Freeman, M.A., CCC-SLP
• Marissa Freking
• Paul Fritz, MD
• Zofia Fronc

• Neuroradiology Physician in Port Jefferson, NY
• Providers in Port Jefferson, NY by specialty
• Neuroradiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.