Mylene Daligues Mendoza

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

26NR09237900 Issued in NJ

Practice address

65 James St
Edison, NJ 08820-3947

Phone

(732) 321-7000

NPI assigned

Dec 1, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512086400000",
    "number": "1952816704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 COLUMBIA AVE",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "070331508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 JAMES ST",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203947",
            "telephone_number": "732-321-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "MYLENE",
        "middle_name": "DALIGUES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-01",
        "last_updated": "2017-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NJ",
            "license": "26NR09237900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard B Menashe, DO
• Mend PA
• Mend Physician Services PC
• Eddie E Mendez, PA-C
• Premilla Mendonca, APN-C
• Rosa M. Mendoza, M.D
• Tatiana Girma Mengistu, MD
• Menlo Park Medical Group P.a.
• Menlo Park Surgery Center, LLC.
• Pinali Javeri Menon, DDS

• Registered Nurse First Assistant in Edison, NJ
• Providers in Edison, NJ by specialty
• Registered Nurse First Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; 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.