Melchias Njingulula Mukendi, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

187870 Issued in NY

Practice address

3511 Queens Blvd
Suites 01 & 02
Long Island City, NY 11101-1720

Phone

(718) 433-1015

Fax

(718) 433-1019

NPI assigned

Oct 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780764365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 97TH ST",
            "address_2": "APT 6F",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113741247",
            "telephone_number": "718-271-7489",
            "fax_number": "718-433-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 QUEENS BLVD",
            "address_2": "SUITES 01 & 02",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111011720",
            "telephone_number": "718-433-1015",
            "fax_number": "718-433-1019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKENDI",
        "first_name": "MELCHIAS",
        "middle_name": "NJINGULULA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "187870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02744970",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MSHQ Emergency Care Associates
• MSHQ Professional Billing
• Mt Sinai School of Medicine of New York University (Mount Sinai Multispecialty Physicians)
• Wei Mu, AGPCNP-BC
• Asif Iqbal Muhammad, M.D.
• Tabassum Mukerji
• Bernardo Lusares Mulingtapang Jr., PT, DPT
• Rubina Naeem Mulla
• Neishe Mullackal
• Lyudnila Leah Munarova, B.A., B.S., M.A., OT

• General Practice Physician in Long Island City, NY
• Providers in Long Island City, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.