Individual provider Active NPI

Cristina Dora Mendez, D.O.

  • Student in an Organized Health Care Education/Training Program
  • Oceanside, NY
National Provider Identifier
1831538826
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
2271585 Issued in RI
Practice address
196 Merrick Rd
Oceanside, NY 11572-1420
Phone
(516) 255-8414
NPI assigned
Jun 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 2271585 RI Primary

Addresses

Primary practice location

196 Merrick Rd
Oceanside, NY 11572-1420

Mailing address

3000 Rogers Rd Ste 100
Wake Forest, NC 27587-5745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20190313001422 NC Practitioner - Family Practice 4183912033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Duke University Affiliated Physicians, Inc.Group PAC ID 3779489588, 452 clinicians

Practice addresses (Care Compare)

1565 Orchard Villas Ave
Apex, NC 27502-4321
Phone (919) 367-9355

Hospital & facility affiliations

  • Duke University Hospital Hospital, Durham, NC, CCN 340030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2271585RIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Aug 6, 2018 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine Current Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Aug 6, 2018 Accepting new patients
Private Diagnostic Clinic, PLLC Family Medicine PastSince Aug 6, 2018 Accepting new patients

Locations

100 Duke Health Cary Pl
Ste 110
Cary, NC 27519
Phone (919) 385-4855

5716 Fayetteville Rd
Durham, NC 27713
Phone (919) 572-1862

65 Tw Alexander Dr
Unit 110566
Durham, NC 27709

1821 Hillandale Rd
Ste 24A
Durham, NC 27705
Phone (919) 383-4355

411 W Chapel Hill St
Ste 1100
Durham, NC 27701

1901 Hillandale Rd
Ste D
Durham, NC 27705
Phone (919) 383-4355

1821 Hillandale Rd
Ste 25A
Durham, NC 27705
Phone (919) 620-7300

267 S Churton St
Ste 200
Hillsborough, NC 27278
Phone (919) 471-9622

401 Irving Pkwy
Ste 110
Holly Springs, NC 27540
Phone (919) 385-3022

162 Legacy Oaks Dr
Ste 101
Knightdale, NC 27545
Phone (919) 232-5205

10950 Chapel Hill Rd
Ste A
Morrisville, NC 27560
Phone (919) 327-1630

7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650

10211 Alm St
Ste 1200
Raleigh, NC 27617
Phone (919) 206-4889

7021 Harps Mill Rd
Ste 100
Raleigh, NC 27615
Phone (919) 576-8480

3000 Rogers Rd
Ste 100
Wake Forest, NC 27587
Phone (919) 367-1729

3000 Rogers Rd
Wake Forest, NC 27587
Phone (919) 385-1080

Interoperability endpoints

  • Direct secure messaging: ccesaro407253@direct.medicine.duke.edu

Organizations & group practices 4

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1371945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1831538826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ROGERS RD STE 100",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 MERRICK RD",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115721420",
            "telephone_number": "516-255-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "CRISTINA",
        "middle_name": "DORA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-23",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "RI",
            "license": "2271585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, NY

Sources for this page

Verify at the official NPI Registry.