Jorge Mendieta, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

043265-1 Issued in NY

Practice address

Cas/Milbank Medical Group
14-32 West 118 Street
New York, NY 10026-1904

Phone

(212) 369-8339

NPI assigned

Oct 25, 2005

Sex

Male

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619967379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 BROADWAY",
            "address_2": "#16-G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100235028",
            "telephone_number": "212-496-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CAS/MILBANK MEDICAL GROUP",
            "address_2": "14-32 WEST 118 STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100261904",
            "telephone_number": "212-369-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDIETA",
        "first_name": "JORGE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "043265-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Mendez, PA-C
• Yolanda Mendez, PHARMD
• Yolanda Mendez, M.S.ED.
• Michelle Marie Mendick, FNP
• Hillary Mendieta, PA
• Cristina A. Mendiola, M.D.
• Anil Mendiratta, M.D.
• Ross Mendlinger, PSY.D.
• Maria Mendlovsky, P.N.P.
• Daniella Santa Mendola, PA-C

• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.