Active NPI
Narciso Dizon Mendoza, MD
- Allergy & Immunology Physician
- Toms River, NJ
National Provider Identifier
1972679835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 25MA03628600
- Practice address
- 9 Mule Road
Suite E5
Toms River, NJ 08755 - Phone
- (732) 240-3710
- Fax
- (732) 240-3783
- NPI assigned
- Nov 24, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 25MA03628600 | NJ | Primary |
Addresses
Primary practice location
9 Mule Road
Suite E5
Toms River, NJ 08755
Mailing address
9 Mule Road
Suite E5
Toms River, NJ 08755
Phone (732) 240-3710
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DO60502 | Other | NJ | COS |
| 0867403 | Medicaid | NJ | |
| MA36286 | Other | NJ | LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110111000505 | NJ | Practitioner - Allergy/Immunology | 5193914844 | Practice locations: Toms River, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Pacific Medical College, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9 Mule Rd
Toms River, NJ 08755-5052
Phone (732) 240-3710
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA03628600 | NJ | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pierre Mendoza MD LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Urology Physician
- Toms River, NJ
- NPI 1922646132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1972679835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 MULE ROAD",
"address_2": "SUITE E5",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "08755",
"telephone_number": "732-240-3710",
"fax_number": "732-240-3783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 MULE ROAD",
"address_2": "SUITE E5",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "08755",
"telephone_number": "732-240-3710",
"fax_number": "732-240-3783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "NARCISO",
"middle_name": "DIZON",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-24",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "NJ",
"license": "25MA03628600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COS",
"identifier": "DO60502",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0867403",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "MA36286",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toms River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.