Conchita Mendoza, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

141898 Issued in NY

Practice address

270 9TH St
Brooklyn, NY 11215-3906

Phone

(347) 921-3623

Fax

(718) 638-1070

NPI assigned

Mar 28, 2006

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

Other identifiers 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Long Island College Hospital

  • Gastroenterology Physician
  • Brooklyn, NY
  • NPI 1003863820
  NPD (past)
• Suny Downstate Medical Center

  • Emergency Medicine Physician
  • Brooklyn, NY
  • NPI 1699704155
  NPD (past)
• Suny Health Science Center at Brooklyn

  • Emergency Medicine Physician
  • Brooklyn, NY
  • NPI 1386942555
  NPD (past)

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1780644161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 PARK PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173207",
            "telephone_number": "347-921-3623",
            "fax_number": "718-638-1070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153906",
            "telephone_number": "347-921-3623",
            "fax_number": "718-638-1070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "CONCHITA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "141898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01448824",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlisdania Mendoza, M.D.
• Carlos Alberto Mendoza, D.D.S.
• Carol Renee Mendoza, CNM,MS
• Celia A Mendoza
• Christopher Mendoza, M.D.
• Felimon A. Mendoza
• Gabriela Nicte-Ha Mendoza, PA-C
• Gregory Mendoza, LCSW
• Harvey Galido Mendoza
• Itzelt Mendoza

• Geriatric Medicine (Internal Medicine) Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Geriatric Medicine (Internal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.