Active NPI
Sean Harley Mendonca, M.D.
- Diagnostic Radiology Physician
- Morristown, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 25MA11882100
- Practice address
- 100 Madison Ave
Morristown, NJ 07960-6136 - Phone
- (973) 971-5370
- Fax
- (973) 290-7294
- NPI assigned
- May 1, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | 25MA11882100 | NJ | |
| Diagnostic Radiology Physician | 2085R0202X | 25MA11882100 | NJ | Primary |
Addresses
Primary practice location
100 Madison Ave
Morristown, NJ 07960-6136
Mailing address
PO Box 412826
Boston, MA 02241-2526
Phone (844) 362-1735
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5370
Hospital & facility affiliations
- Morristown Medical Center
- Cooperman Barnabas Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA11882100 | NJ | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hunterdon Ambulatory Services LLC | Current | Accepting new patients | |
| Atlantic Imaging Services LLC | Diagnostic Radiology | Current | Accepting new patients |
| Ancillary Services of Practice Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Women'S Healthcare Imaging, Corp. | Current | Accepting new patients |
Locations
471 Broadway
Ste 400
Bayonne, NJ 07002
Phone (973) 436-0511
100 Commerce Pl
Clark, NJ 07066
Phone (732) 388-2620
140 Central Ave
Ste 600
Clark, NJ 07066
Phone (732) 943-5030
465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130
100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210
3025 Paramus Park Mall
Ste 300
Paramus, NJ 07652
Phone (201) 267-6889
10 Lanidex Plz W
Ste 125
Parsippany, NJ 07054
Phone (973) 267-1274
99 Beauvoir Ave
Summit, NJ 07901
Phone (908) 522-2232
1000 Galloping Hill Rd
Union, NJ 07083
Phone (908) 522-6280
Interoperability endpoints
- smendonca186802@direct.ahsys.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Morristown, NJ
- NPI 1144858408
-
- Diagnostic Radiology Physician
- Morristown, NJ
- NPI 1972114361
-
- Radiology Clinic/Center
- Bridgewater, NJ
- NPI 1184149031
-
- Radiology Clinic/Center
- Union, NJ
- NPI 1285880153
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Morristown, NJ
- NPI 1053384776
-
- General Acute Care Hospital
- Livingston, NJ
- NPI 1396857488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1730677154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 412826",
"city": "BOSTON",
"state": "MA",
"postal_code": "022412526",
"telephone_number": "844-362-1735",
"fax_number": "973-290-7495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MADISON AVE",
"city": "MORRISTOWN",
"state": "NJ",
"postal_code": "079606136",
"telephone_number": "973-971-5370",
"fax_number": "973-290-7294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDONCA",
"first_name": "SEAN",
"middle_name": "HARLEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-01",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "NJ",
"license": "25MA11882100",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NJ",
"license": "25MA11882100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morristown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.