Active NPI
Vindy Mena
- Phlebotomy Technician
- New York, NY
National Provider Identifier
1780003657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- T6W9T8D7
- Practice address
- 675 3Rd Ave
New York, NY 10017-5704 - Phone
- (212) 871-0613
- NPI assigned
- Apr 8, 2014
- 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 |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | T6W9T8D7 | CA | Primary |
Addresses
Primary practice location
675 3Rd Ave
New York, NY 10017-5704
Mailing address
PO Box 1074
New York, NY 10027-1074
Phone (347) 780-0353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T6W9T8D7 | CA | MD | Phlebotomy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396915200000",
"number": "1780003657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1074",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100271074",
"telephone_number": "347-780-0353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 3RD AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100175704",
"telephone_number": "212-871-0613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENA",
"first_name": "VINDY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-08",
"last_updated": "2014-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "CA",
"license": "T6W9T8D7",
"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 Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.