Active NPI
Manuel A Mendoza Jr., D.C.
- Chiropractor
- Hempstead, NY
National Provider Identifier
1871650853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X007741
- Practice address
- 717 Front St
Hempstead, NY 11550-4534 - Phone
- (516) 565-3534
- Fax
- (516) 565-2745
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X007741 | NY | Primary |
Addresses
Primary practice location
717 Front St
Hempstead, NY 11550-4534
Mailing address
717 Front St
Hempstead, NY 11550-4534
Phone (516) 565-3534
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X007741 | Other | NY | NYS MED LIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080516000386 | NY | Practitioner - Chiropractic | 2769551761 |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1994
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
717 Front St
Hempstead, NY 11550-4534
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X007741 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279065600000",
"number": "1871650853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 FRONT ST",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "115504534",
"telephone_number": "516-565-3534",
"fax_number": "516-565-2745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 FRONT ST",
"city": "HEMPSTEAD",
"state": "NY",
"postal_code": "115504534",
"telephone_number": "516-565-3534",
"fax_number": "516-565-2745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "MANUEL",
"middle_name": "A",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2010-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X007741",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS MED LIC",
"identifier": "X007741",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hempstead, NY
- Karen Melito
- Ilana Melvin, PSY.D.
- Monica Mena, RN
- Mendoza Chiropractic Office PC
- Jerald Aguila Mendoza, PT
- Daniella Sofia Menjivar Machuca, LMSW
- Mental Health Assoc of Nassau County
- Mental Health Association of Nassau County, Inc
- Mental Health Association of Nassau County, Inc
- Mental Health Association of Nassau County, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.