John Mendiola MD PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

JOHN MENDIOLA MD PLLC

Practice address

111 Broadway
Suite 905, 9TH FL
New York, NY 10006

Phone

(646) 258-1120

NPI assigned

Apr 15, 2019

Organization subpart

No

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

Authorized official

Name

Dr. John Mendiola, MD

Title

Owner

Phone

(646) 258-1120

Specialties & licenses 2

Addresses

Other names 1

• MindBody Therapeutics Doing business as

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555286400000",
    "number": "1689237885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 STERLING PL APT 5A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173382",
            "telephone_number": "646-258-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BROADWAY",
            "address_2": "SUITE 905, 9TH FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10006",
            "telephone_number": "646-258-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN MENDIOLA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-15",
        "status": "A",
        "authorized_official_last_name": "MENDIOLA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-258-1120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MindBody Therapeutics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John K Nia MD PC
• John L. Bolling, M.D.
• John Lauritzen MSW Licsw
• John M Ross PH.D Psychology PC
• John Mancuso DPM PC
• John Muney MD PC
• John P. Lyden, M.D., P.C.
• John Quagliarello, MD, PC
• John R Denton, M.D. P.C.
• John Rheinstein, CP, Inc.

• Medical Specialty Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.