Gladys Maria Mendoza, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ15010400 Issued in NJ

Practice address

377 Jersey Ave Ste 310
Jersey City, NJ 07302-4397

Phone

(201) 706-2091

Fax

(201) 706-2092

NPI assigned

Feb 21, 2024

Sex

Female

Sole proprietor

No

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 NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Py Medical Services of NJ LLC 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Py Medical Services of NJ LLC

  • Multi-Specialty Clinic/Center
  • Newark, NJ
  • NPI 1942912381

  NJ

  Medicare reassignment Care Compare group NPD
• Lutheran Senior Healthcare, Inc.

  • Adult Day Care Clinic/Center
  • Jersey City, NJ
  • NPI 1689990723
  NPD (past)

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725148800000",
    "number": "1780440313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 PRINCETON TER",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071092102",
            "telephone_number": "201-468-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 JERSEY AVE STE 310",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073024397",
            "telephone_number": "201-706-2091",
            "fax_number": "201-706-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "GLADYS",
        "middle_name": "MARIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-09-01",
        "certification_date": "2024-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15010400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Philip Meller, DPM
• Rachel M Meltzer, MS, RD
• Kayleen Melvin
• Desiree Mendoza, P.T.
• Donald D. Mendoza, NCC, LPC, LCADC
• Medalya Mendoza
• Rummel G. Mendoza, D.C
• Luke Gregory Menken, DO
• Serge Menkin, M.D.
• Irini D Mentakis, MD

• All providers in Jersey City, NJ
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.

Verify at the official NPI Registry.