Organization Active NPI

The Mendelson Group, LLC

  • Audiologist
  • Potomac, MD
National Provider Identifier
1871900902
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Legal business name
THE MENDELSON GROUP, LLC
Practice address
11604 Bunnell CT S
Potomac, MD 20854-3603
Phone
(301) 299-6714
NPI assigned
Jul 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Authorized official

Name
Gary Mendelson, AU.D.NPI 1831172428
Title
Owner
Phone
(301) 299-6714

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X Primary

Addresses

Primary practice location

11604 Bunnell CT S
Potomac, MD 20854-3603

Mailing address

11604 Bunnell CT S
Potomac, MD 20854-3603
Phone (301) 299-6714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140929000264 MD Part B Supplier - Clinic/Group Practice 5799905634 Receives reassigned benefits from 1 practitioner
Practice locations: Prince Frederick, MD; Solomons, MD
O20141030001478 DC Part B Supplier - Clinic/Group Practice 5799905634 Receives reassigned benefits from 1 practitioner
Practice locations: Potomac, MD

National Provider Directory

National Provider Directory

Locations

65 Duke St
Ste 103
Prince Frederick, MD 20678
Phone (301) 299-6714

110 Hospital Rd
Ste 204
Prnc Frederck, MD 20678
Phone (410) 414-7288

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1871900902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11604 BUNNELL CT S",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543603",
            "telephone_number": "301-299-6714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11604 BUNNELL CT S",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543603",
            "telephone_number": "301-299-6714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MENDELSON GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "MENDELSON",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-299-6714",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.