Jose Manuel Mendez, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

225192 Issued in NY

Practice address

7902 Roosevelt Ave
Jackson Heights, NY 11372-6717

Phone

(718) 779-3333

Fax

(718) 779-4422

NPI assigned

Nov 18, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jose M Mendez MD PC

  dba Universal Pediatrics

  • Pediatrics Physician
  • Jackson Heights, NY
  • NPI 1548428741
  Authorized official Same address or phone
• Mount Sinai School of Medicine

  dba Mount Sinai Elmhurst Faculty Practice Group

  • Internal Medicine Physician
  • Elmhurst, NY
  • NPI 1013147313
  NPD (past)

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629050075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7902 ROOSEVELT AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726717",
            "telephone_number": "718-779-3333",
            "fax_number": "718-779-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7902 ROOSEVELT AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726717",
            "telephone_number": "718-779-3333",
            "fax_number": "718-779-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "JOSE",
        "middle_name": "MANUEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "225192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02318041",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Meis, PT
• Ivan Mejia, PHARMD
• Zuly Rosa Mejia, M.S.,SLP-CCC
• George Melanthiou, RPH
• Alejandro Mendez, R.P.A. -C
• Gerson F Mendoza, D.C.
• Miriam Mendoza
• Mental Health Providers of Western Queens
• Mental Health Providers of Western Queens
• Mental Health Providers of Western Queens, Inc.

• Pediatrics Physician in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Pediatrics Physician 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.