MAIRA JOCELYN MENDOZA (NPI# 1093229775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093229775 |
| Entity Type | Individual |
| Full Name | MAIRA JOCELYN MENDOZA |
| Practice Address |
183 S Orange Ave Newark NJ 07103-2757 |
| Mailing Address |
671 Hoes Ln W Piscataway NJ 08854-8021 |
| Practice Telephone | 9739729407 |
| Enumeration Date | 2017-11-17 |
| Last Update Date | 2017-11-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568834687 | Maira Mendoza | Case Manager/Care Coordinator | 128 Atlantic Ave, Lynbrook, NY 11563-3477 | 2015-10-28 |
| Street Address |
183 S ORANGE AVE |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103-2757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073510947 | Michael A. Gerstmann | Family Medicine | 183 S Orange Ave, Bhsb B-1455, Newark, NJ 07103-2757 | 2005-07-07 |
| 1568087203 | Shelly Jecc Espejo | Counselor | 183 S Orange Ave, Newark, NJ 07103-2757 | 2020-06-09 |
| 1447872056 | Mauritza Barnard | Case Manager/Care Coordinator | 183 S Orange Ave, Newark, NJ 07103-2757 | 2020-05-18 |
| 1306468004 | Jessica Ronae Gavin | Case Manager/Care Coordinator | 183 S Orange Ave, Newark, NJ 07103-2757 | 2020-05-15 |
| 1033731864 | Mariangel Chevalier | Case Manager/Care Coordinator | 183 S Orange Ave, Newark, NJ 07103-2757 | 2020-05-14 |
| 1518591304 | Roselande Pierre-louis | Case Manager/Care Coordinator | 183 S Orange Ave, Newark, NJ 07103-2757 | 2020-03-02 |
| 1952933194 | Ikea Vandross | Case Manager/Care Coordinator | 183 S Orange Ave, Newark, NJ 07103-2757 | 2020-02-05 |
| 1316578446 | Kaleemah T Dobson | Counselor | 183 S Orange Ave, Newark, NJ 07103-2757 | 2020-01-28 |
| 1164060232 | Sharon Renee Baker | Behavior Technician | 183 S Orange Ave, Newark, NJ 07103-2757 | 2019-12-19 |
| 1912545211 | Marcia Ginlock | Counselor | 183 S Orange Ave, Newark, NJ 07103-2757 | 2019-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
| 1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
| 1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
| Find all providers in zip 07103 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700274578 | Lolalyn Clarke | Psychologist | 183 S Orange Ave, Newark, NJ 07103-2757 | 2015-01-02 |
| 1598946303 | Lisa Masse | Psychologist | 1400 Peoples Plz, Suite 204, Newark, DE 19702-5707 | 2007-11-20 |
| 1730224601 | Susan Ann Adubato | Psychologist | 30 Bergen St, Admc 1608, Newark, NJ 07107-3000 | 2007-02-20 |
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| 1669942777 | Psychological & Educational Consulting | Psychologist | 513 W Mount Pleasant Ave Ste 212, Livingston, NJ 07039-1721 | 2018-12-01 |
| 1467949735 | Courtney Anderson, Psyd, LLC | Psychologist | 256 Read St, Lakewood, NJ 08701-5327 | 2018-04-22 |
| 1790282192 | Stefan C. Dombrowski, Ph.d. & Associates, LLC | Psychologist | 4 Eves Dr, Marlton, NJ 08053-3195 | 2018-04-11 |
| 1104338813 | Suzi Millar | Psychologist | 50 Boulevard of Eagles, Edison, NJ 08817-4002 | 2017-11-03 |
| 1750893954 | Tishanna D Majette Phd Corporation | Psychologist | 3000 Atrium Way Ste 200, Mount Laurel, NJ 08054 | 2017-10-27 |
| 1477965457 | Courtney Anderson | Psychologist | 40 Avenue At The Cmn Ste 203, Shrewsbury, NJ 07702 | 2014-05-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.