Theresa Elizabeth Mendez

Primary specialty

SpecialistTaxonomy code 174400000X

License

1276356 Issued in NY

Practice address

7609 79TH St
Glendale, NY 11385-7540

Phone

(718) 456-5014

NPI assigned

Jun 24, 2013

Last updated

Jun 24, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1588003453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7609 79TH ST",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857540",
            "telephone_number": "718-456-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7609 79TH ST",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857540",
            "telephone_number": "718-456-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "THERESA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1276356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MCRS Corporation
• Medical Supplier Nyc Corp
• Maria Cecilia Medina, OTR/L
• Evelyn Melgar, M.S,ED
• Narina Melikyan, DDS
• Peter L Menger, MD
• Donna Marie Mercatante, MS, RDN, CDN
• Eleonora Mezheritsky, M.D.
• Michelle Mordukhayeva SLP PC
• Kathleen Micros, OTR/L

• Specialist in Glendale, NY
• Providers in Glendale, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; 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.