Judith Mejia, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

050888 Issued in NY

Practice address

2691 State Route 9
Suite 101
Malta, NY 12020-4330

Phone

(518) 951-6743

NPI assigned

Oct 24, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290124800000",
    "number": "1750465274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2691 STATE ROUTE 9",
            "address_2": "SUITE 101",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120204330",
            "telephone_number": "518-951-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2691 STATE ROUTE 9",
            "address_2": "SUITE 101",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120204330",
            "telephone_number": "518-951-6743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJIA",
        "first_name": "JUDITH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2010-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "050888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Maswick, PTA/L
• Matthew T Maurer, RPH
• Sheri McCarthy, OTR/L
• Sarah C McDonald, LMHC
• Briana McMorris, PMHNP
• Eugene K Merecki, MD
• John Patrick Mongan, D.O.
• Russell Joseph Mongiovi, DPM
• Kimberly Montelone, NP
• Carly Catherine Moran, MHC-LP

• General Practice Dentistry in Malta, NY
• Providers in Malta, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; 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.

Verify at the official NPI Registry.