JOHNATHAN MENDEZ (NPI# 1790306041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790306041 |
| Entity Type | Individual |
| Full Name | JOHNATHAN MENDEZ |
| Practice Address |
1985 Nj-34 Building A Wall Township NJ 07719 |
| Mailing Address |
2607 Schurz Ave Bronx NY 10465-3143 |
| Practice Telephone | 7323650101 |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2020-04-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 38MC00769800 | NJ | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 174 Patterson Ave, Shrewsbury, NJ 077024177 | 7323654160 |
| Street Address |
1985 NJ-34 BUILDING A |
| City | WALL TOWNSHIP |
| State | NJ |
| Zip Code | 07719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023623642 | Augusto Caesar Cespedes Jr. | Nurse Practitioner | 2621 Nj-138, Wall, NJ 07719 | 2020-09-10 |
| 1881226181 | Charles Elmendorf | Occupational Therapist | 1825 Nj-35, Wall, NJ 07719 | 2020-02-05 |
| 1750929873 | Scott Steinez Hyppolite | Chiropractor | 1985 Nj-34 Building A, Wall Township, NJ 07719 | 2019-12-19 |
| 1194204677 | Kelly Anne Cusick | Occupational Therapist | 3349 Highway 138 East, Building B, Suite A, Wall Township, NJ 07719 | 2018-08-07 |
| 1154816395 | Belmar First Aid Squad Incorporated | Ambulance | 414 9th Ave, Belmar, NJ 07719 | 2018-06-29 |
| 1396257739 | Christina Marie Cognetti | Occupational Therapist | 3349 Nj-138, Wall, NJ 07719 | 2017-10-25 |
| 1023555687 | Beth Nardone-troast | Specialist | 3100 Route 138 West, Building 3, Suite 1, Wall Township, NJ 07719 | 2017-01-20 |
| 1356702005 | Stephanie Herenchak | Occupational Therapist | 2500 Ridgewood Rd., Wall, NJ 07719 | 2016-03-09 |
| 1598142523 | Samantha L Cotler | Family Medicine | 1937 Route 35, Wall Township, NJ 07719 | 2015-04-28 |
| 1831508035 | Alexandra M Calhoun | Occupational Therapist | 3348 Highway 138 East, Building B Suite A, Wall Township, NJ 07719 | 2014-08-13 |
| Find all providers in zip 07719 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417575150 | Active Release & Chiropractic Center LLC | Chiropractor | 3350 Hwy 138 Ste 227, Wall Township, NJ 07719-9694 | 2020-07-09 |
| 1750929873 | Scott Steinez Hyppolite | Chiropractor | 1985 Nj-34 Building A, Wall Township, NJ 07719 | 2019-12-19 |
| 1487185831 | Stephen E Defelice Sr. | Chiropractor | 1905 Geraldine Ct, Wall Township, NJ 07719-9156 | 2017-03-27 |
| 1770955965 | Total Health Management | Chiropractor | 1736 Helen St, Wall Township, NJ 07719-3774 | 2015-10-27 |
| 1619354669 | Gaetano A. Ricciardone | Chiropractor | 1503 Juliette Dr, Wall Township, NJ 07719-3914 | 2015-04-29 |
| 1467518126 | Frank Fuscaldo Jr. | Chiropractor | 1985 State Route 34, Building A, Wall Township, NJ 07719-9100 | 2006-12-28 |
| 1477584100 | Susan H Penczak | Chiropractor | 2041 State Route 35, Wall Township, NJ 07719-3539 | 2006-07-05 |
| 1932137361 | Richard Michael Curcio | Chiropractor | 1924 Route 35, Suite 1, Wall Township, NJ 07719-3530 | 2006-06-28 |
| 1770047938 | Madison Kelly | Chiropractor | 1985 State Route 34, Wall Township, NJ 07719-9100 | 2019-01-22 |
| 1376604728 | Derek Andrew Van Benthuysen | Chiropractor | 3350 Highway 138, Ste 227, Wall Township, NJ 07719-9694 | 2006-12-12 |
| Find all providers in WALL TOWNSHIP | ||||
| City | WALL TOWNSHIP |
| Zip Code | 07719 |
Please comment or provide details below to improve the information on JOHNATHAN MENDEZ.
| 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.