Active NPI
David Mendoza, MS, AGPCNP-BC
- Adult Health Nurse Practitioner
- New York, NY
National Provider Identifier
1669840708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F307063-1
- Practice address
- 160 E 34TH St FL 8
New York, NY 10016-4744 - Phone
- (212) 731-5388
- Fax
- (332) 210-7570
- NPI assigned
- Sep 7, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F307063-1 | NY | Primary |
Addresses
Primary practice location
160 E 34TH St FL 8
New York, NY 10016-4744
Mailing address
160 E 34TH St FL 8
New York, NY 10016-4744
Phone (212) 731-5388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160107001789 | NY | Order and Referring Only - Nurse Practitioner | 7315249380 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F307063-1 | NY | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741651200000",
"number": "1669840708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 E 34TH ST FL 8",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100164744",
"telephone_number": "212-731-5388",
"fax_number": "332-210-7570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 E 34TH ST FL 8",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100164744",
"telephone_number": "212-731-5388",
"fax_number": "332-210-7570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "DAVID",
"credential": "MS, AGPCNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-07",
"last_updated": "2025-03-11",
"certification_date": "2025-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F307063-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.