JORGE G. MENDEZ,MD. LLC (NPI# 1669870689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669870689 |
| Entity Type | Organization |
| Organization Name | JORGE G. MENDEZ,MD. LLC |
| Other Organization Name | IVY LEAGUE PAIN MANAGEMENT CENTER |
| Practice Address |
9 Crestfield Rd Boonton NJ 07005-9007 |
| Practice Telephone | 9082556200 |
| Practice Fax Number | 9737944261 |
| Mailing Telephone | 9082556200 |
| Mailing Fax Number | 9737944261 |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2019-03-13 |
| Authorized Official Name | DR. JORGE G. MENDEZ (PRESIDENT) |
| Authorized Official Telephone | 9082556200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 25MA08542000 | NJ | Allopathic & Osteopathic Physicians |
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
25MA08542000 | NJ | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Ivy League Pain Management Center | Doing Business As Name - Organization |
| Street Address |
9 CRESTFIELD RD |
| City | BOONTON |
| State | NJ |
| Zip Code | 07005-9007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356463988 | Jorge G Mendez | Anesthesiology | 9 Crestfield Rd, Boonton, NJ 07005-9007 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669997524 | Kyle Feather | Physical Therapist | 315 Wootton Street, Units G and H, Boonton, NJ 07005 | 2017-08-11 |
| 1629445234 | Eric Capell | Preventive Medicine | 102 Boonton Ave, Boonton, NJ 07005 | 2015-08-31 |
| 1639553530 | The Rose House | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 929 Knoll Rd., Parsippany-troy Hills, NJ 07005 | 2015-07-10 |
| 1912241340 | Generation Pharmacy Group, LLC. | Pharmacy | 85 Fulton Street, Suite 9a, Boonton, NJ 07005 | 2012-11-26 |
| 1639323512 | Anna Marie Williams | Social Worker | 408 Main St Ste 204, Boonton, NJ 07005 | 2008-11-05 |
| 1275796286 | Yurata Gerwel Modzelewski | Pediatrics | 105 Powerville Road, Boonton Twp, NJ 07005 | 2008-07-09 |
| 1467656280 | Suzanne L. Feuer | Counselor | Saint Clares Health System, 130 Powerville Road, Boonton, NJ 07005 | 2007-06-14 |
| 1619029261 | Laura Jean Nowak | Social Worker | 130 Powerville Road, Boonton, NJ 07005 | 2007-01-16 |
| 1891842803 | Wilda Mesias | Psychologist | 550 West Main St, Boonton, NJ 07005 | 2007-01-04 |
| 1710912332 | Philip Mark Scaduto | Internal Medicine | 223 West Main St, Boonton, NJ 07005 | 2006-07-12 |
| Find all providers in zip 07005 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517044 | Excellence Medical Care, PC | Anesthesiology | 110 S Grove St Fl 2, East Orange, NJ 07018-4102 | 2020-10-28 |
| 1851998488 | Kenneth Paul Michelette | Anesthesiology | 72 W Jimmie Leeds Rd Ste 2500, Galloway, NJ 08205-9413 | 2020-10-06 |
| 1407462815 | Optimal Pain & Spine | Anesthesiology | 757 Route 202/206 Ste 104, Bridgewater, NJ 08807-1763 | 2020-09-21 |
| 1457986119 | Windsor Management LLC Michael Ole Fridman Sole Mbr. | Anesthesiology | 831 Main Ave Ste 5831, Passaic, NJ 07055-8400 | 2020-03-03 |
| 1750914776 | Center for Regenerative Therapy and Pain Management | Anesthesiology | 459 Jack Martin Blvd Ste 4, Brick, NJ 08724-7724 | 2020-02-18 |
| 1083251375 | Joshua Persaud Md LLC | Anesthesiology | 2 Pine Meadow Ct, E Brunswick, NJ 08816 | 2019-12-05 |
| 1649816976 | Elizabeth Pavlovsky | Anesthesiology | 666 Plainsboro Rd Ste D, Plainsboro, NJ 08536-3030 | 2019-11-21 |
| 1265991772 | Interventional Spine and Surgery Group, LLC | Anesthesiology | 8901 Kennedy Blvd Fl 1, North Bergen, NJ 07047-5344 | 2019-03-14 |
| 1477017929 | Mountainside Pain Management PC | Anesthesiology | 185 Fairfield Ave Ste 2a, West Caldwell, NJ 07006-6417 | 2019-01-29 |
| 1043786346 | Neurosure | Anesthesiology | 326a 6th St, Saddle Brook, NJ 07663-6306 | 2018-10-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JORGE G. MENDEZ,MD. LLC.
| 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.