Justin Mendoza (NPI# 1124483318, PAC ID# 9638433949) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1124483318 |
| PAC ID by PECOS | 9638433949 |
| Professional Enrollment ID | I20180514000117 |
| Full Name | Justin Mendoza |
| Organization Legal Name | MAZZONI CENTER |
| Address |
1348 Bainbridge St Philadelphia PA 19147-1810 |
| Phone Number | 2155630652 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 8527043736 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1348 Bainbridge St, Philadelphia, PA 19147-1810 | 2155630652 | MAZZONI CENTER |
| Organization Legal Name | MAZZONI CENTER |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin P Benner | Clinical Social Worker | Mazzoni Center | 1348 Bainbridge St, Philadelphia, PA 19147-1810 |
| Hilary A Rosenstein | Family Medicine | Mazzoni Center | 1201 Locust St, Philadelphia, PA 19107-5409 |
| Mark T Watkins | General Practice | Mazzoni Center | 1201 Locust St, Philadelphia, PA 19107-5409 |
| Robert Pileggi | Clinical Social Worker | Mazzoni Center | 1348 Bainbridge St, Philadelphia, PA 19147-1810 |
| Nancy Elizabeth Brisbon | Family Medicine | Mazzoni Center | 1201 Locust St, Philadelphia, PA 19107-5409 |
| Jessica D Lee | Nurse Practitioner | Mazzoni Center | 1348 Bainbridge St, Philadelphia, PA 19147-1810 |
| Cherie Older | Clinical Social Worker | Mazzoni Center | 1348 Bainbridge St, Philadelphia, PA 19147-1810 |
| Maureen D Zdanis | Psychologist, Clinical | Mazzoni Center | 1348 Bainbridge St, Philadelphia, PA 19147-1810 |
| Edward R Faulkner | Clinical Social Worker | Mazzoni Center | 1348 Bainbridge St, Philadelphia, PA 19147-1810 |
| Mary Riendeau | Clinical Social Worker | Mazzoni Center | 1348 Bainbridge St, Philadelphia, PA 19147-1810 |
| Street Address |
1348 BAINBRIDGE ST |
| City | PHILADELPHIA |
| State | PA |
| Zip | 19147-1810 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin P Benner | Clinical Social Worker | Mazzoni Center | 1348 Bainbridge St, Philadelphia, PA 19147-1810 |
| Robert Pileggi | Clinical Social Worker | Mazzoni Center | 1348 Bainbridge St, Philadelphia, PA 19147-1810 |
| Jessica D Lee | Nurse Practitioner | Mazzoni Center | 1348 Bainbridge St, Philadelphia, PA 19147-1810 |
| Cherie Older | Clinical Social Worker | Mazzoni Center | 1348 Bainbridge St, Philadelphia, PA 19147-1810 |
| Maureen D Zdanis | Psychologist, Clinical | Mazzoni Center | 1348 Bainbridge St, Philadelphia, PA 19147-1810 |
| Edward R Faulkner | Clinical Social Worker | Mazzoni Center | 1348 Bainbridge St, Philadelphia, PA 19147-1810 |
| Mary Riendeau | Clinical Social Worker | Mazzoni Center | 1348 Bainbridge St, Philadelphia, PA 19147-1810 |
| Megan L Crofford | Clinical Social Worker | Mazzoni Center | 1348 Bainbridge St, Philadelphia, PA 19147-1810 |
| Diane Gibfried | Clinical Social Worker | Mazzoni Center | 1348 Bainbridge St, Philadelphia, PA 19147-1810 |
| Andrea C Jones | Clinical Social Worker | Mazzoni Center | 1348 Bainbridge St, Philadelphia, PA 19147-1810 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel S Bowerman | Chiropractic | 512 S 4th St, Phila, PA 19147-1507 | |
| Ralph J Demarino | Chiropractic | 333 Bainbridge St, Fl 1, Philadelphia, PA 19147-1542 | |
| Rachel Braman | Physical Therapy | Orthopedic and Sports Physical Therapy Services Inc | 517 S 4th St, Philadelphia, PA 19147-1569 |
| Rachel M Maher | Physical Therapy | Orthopedic and Sports Physical Therapy Services Inc | 517 S 4th St, Philadelphia, PA 19147-1569 |
| Shannon Riley | Physical Therapy | Orthopedic and Sports Physical Therapy Services Inc | 517 S 4th St, Philadelphia, PA 19147-1569 |
| Samantha Orkin | Physical Therapy | Orthopedic and Sports Physical Therapy Services Inc | 517 S 4th St, Philadelphia, PA 19147-1569 |
| Jeffrey Savier | Physical Therapy | Orthopedic and Sports Physical Therapy Services Inc | 517 S 4th St, Philadelphia, PA 19147-1569 |
| Emily A Chappell | Physical Therapy | Orthopedic and Sports Physical Therapy Services Inc | 517 S 4th St, Philadelphia, PA 19147-1569 |
| Adam Kessel | Physical Therapy | Orthopedic and Sports Physical Therapy Services Inc | 517 S 4th St, Philadelphia, PA 19147-1569 |
| Alexis Dispenziere | Physical Therapy | Orthopedic and Sports Physical Therapy Services Inc | 517 S 4th St, Philadelphia, PA 19147-1569 |
| Find all physicians in zip 19147 | |||
| City | PHILADELPHIA |
| Zip Code | 19147 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | PHILADELPHIA + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Justin Mendoza.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.