Edward Mendelsohn, MD PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

202108 Issued in NY

Legal business name

EDWARD MENDELSOHN, MD PLLC

Practice address

853 Broadway
Suite 200
New York, NY 10003

Phone

(212) 750-1110

Fax

(212) 750-1140

NPI assigned

Jul 12, 2011

Organization subpart

No

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

Authorized official

Name

Edward Joel Mendelsohn, MDNPI 1003905662

Title

Doctor

Phone

(212) 750-1110

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Edward Joel Mendelsohn, M.D.

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
  • NPI 1003905662
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1310428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1669760641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 BROADWAY",
            "address_2": "SUITE # 200",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-750-1110",
            "fax_number": "212-750-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 BROADWAY",
            "address_2": "SUITE 200",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-750-1110",
            "fax_number": "212-750-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD MENDELSOHN, MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-12",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "MENDELSOHN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "212-750-1110",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "202108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward D. Mysak Clinic for Communication Disorders
• Edward D. Mysak Speech and Hearing Center
• Edward Fernandez, PSYD
• Edward J Reich MD PC
• Edward J. Gorecki, DC, PLLC
• Edward Piesman, DMD Pediatric Dentistry, PC
• Edward S. Crane, M.D., P.C.
• Edward Yang
• Natasha Devika Edward
• Glennis Naomi Edwards-Guishard, PHYSICIAN ASSISTANT

• Physical Medicine & Rehabilitation Physician in New York, NY
• Providers in New York, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.