Mendores PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

40QA01159700 Issued in NJ

Legal business name

MENDORES PC

Doing business as

Bergen County Physical Therapy

Practice address

62 Cameron Rd
Bergenfield, NJ 07621-3303

Phone

(201) 244-6932

NPI assigned

Jan 23, 2014

Organization subpart

No

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

Authorized official

Name

Eric Mendoza Flores, PT

Title

President

Phone

(201) 982-0666

Specialties & licenses 1

Addresses

Other names 1

• Bergen County Physical Therapy Doing business as

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1619390861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 CAMERON RD",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076213303",
            "telephone_number": "201-244-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 CAMERON RD",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076213303",
            "telephone_number": "201-244-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDORES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "MENDOZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-982-0666",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NJ",
            "license": "40QA01159700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bergen County Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Med Gate NJ LLC
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• Efrat Shelley Meier-Ginsberg, M.D.
• Ronny Meier, M.D.
• Michele Isaacs Gliksman
• Yelena Migardos, PA
• Valeska Millan, MSW, LCSW, LCADC
• Millennium Rehab Solutions Inc.
• Shari B. Miller, D.D.S

• Physical Therapy Clinic/Center in Bergenfield, NJ
• Providers in Bergenfield, NJ by specialty
• Physical Therapy Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.