Laura A Mendez, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

327159-1 Issued in NY

Practice address

278 Seminole St
Ronkonkoma, NY 11779-4634

Phone

(631) 707-2404

Fax

(631) 707-2404

NPI assigned

Dec 13, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513123200000",
    "number": "1679088579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 SEMINOLE ST",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117794634",
            "telephone_number": "631-707-2404",
            "fax_number": "631-707-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 SEMINOLE ST",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117794634",
            "telephone_number": "631-707-2404",
            "fax_number": "631-707-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "LAURA",
        "middle_name": "A",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-13",
        "last_updated": "2017-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "327159",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "327159-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Robert J Melillo, DC
• Frederic A Mendelsohn, MD
• Sneha Menon
• Mayra C. Mera, LMSW
• Carmen Delia Mercado
• Jodi Michele Merlino, LCSW
• Peter L Mermelstein, NP

• Licensed Practical Nurse in Ronkonkoma, NY
• Providers in Ronkonkoma, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.