JENNILIZ MENDEZ


Address: 559 Broad St, Newark, NJ 07102-4503
Phone: 9736223890

JENNILIZ MENDEZ (NPI# 1134514854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134514854
Entity Type Individual
Full Name JENNILIZ MENDEZ
Practice Address 559 Broad St
Newark
NJ 07102-4503
Mailing Address 3959 Broadway
New York
NY 10032-1559
Practice Telephone 9736223890
Enumeration Date 2015-03-31
Last Update Date 2019-07-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208000000X Pediatrics 25MA10572700 NJ Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
495 N 13th St, Newark, NJ 071071317 9732685862

Office Location

Street Address 559 BROAD ST
City NEWARK
State NJ
Zip Code 07102-4503

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447261896 Antonio A. De La Cruz, Md., Pa Allergy & Immunology 559 Broad St, Newark, NJ 07102-4503 2006-08-11
1780011239 Nicole Theresa Caragian Nurse Practitioner 559 Broad St, Newark, NJ 07102-4503 2013-09-30
1801956818 Marc Roberts M.d. P.a. Specialist 559 Broad St, Newark, NJ 07102-4503 2006-12-11
1811008402 Marc Preston Roberts Specialist 559 Broad St, Newark, NJ 07102-4503 2006-08-31

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1679042295 Henry Paul Grayner Specialist/Technologist 100 Lock St, Newark, NJ 07102 2018-11-14
1548736838 Integrity, Inc Substance Abuse Rehabilitation Facility 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 2018-10-15
1962981407 Crystal Kay-baune Mccown Social Worker 130 Orange St, Newark, NJ 07102 2018-08-07
1053808865 Nubi Consultants Corp. Dba Aplus Home Care Physical Therapist 11 Franklin Street, 11 Franklin Street, Newark, NJ 07102 2018-04-17
1396249264 Integrity, Inc Substance Abuse Rehabilitation Facility 49 Lincoln Park, Newark, NJ 07102 2018-03-23
1568960896 Saint James Health Inc Clinic/Center 36 Halsey Street, Newark, NJ 07102 2018-02-01
1992216527 Metropolitan Center for Human Services Psychologist 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 2017-10-23
1467974949 Ahmad Mohammad Tawfiq Damati Student in an Organized Health Care Education/Training Program 123 University Ave, Newark, Nj 07102, Newark, NJ 07102 2017-07-17
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Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578084448 Valerie Louissaint Pediatrics 240 Osborne Ter, Newark, NJ 07112-2130 2017-06-30
1396129912 Madheea Siddiqi Pediatrics 185 S Orange Ave # 972-6015, Newark, NJ 07103-2757 2015-07-14
1124433024 Priyanka Vakati Pediatrics 4755 Ogletown Stanton Rd Dept Of, Newark, DE 19718-2200 2014-06-30
1588920854 Stephanie J Lempel Pediatrics 185 South Orange Avenue - F603, Newark, NJ 07103 2012-04-11
1427360577 Rula Nassar Pediatrics 4755 Ogletown - Stanton Rd, Map Suite 217, Newark, DE 19713 2010-07-06
1235450883 Jimisha Patel Pediatrics 1864 Tamarack Road, Newark, OH 43055 2010-06-17
1235463548 First State Pediatrics, LLC Pediatrics 210 Christiana Medical Ctr, Newark, DE 19702-1652 2009-09-21
1528224615 Juan Gadea Pediatrics 179 W Chestnut Hill Rd Ste 6, Newark, DE 19713-2210 2008-07-29
1821269630 Chandra Gupta Pediatrics 156 Roseville Avenue, Newark, NJ 07107 2008-03-19
1669676219 Justin M. D'antuono Pediatrics 1400 Peoples Plaza, Suite 300, Newark, DE 19702-5708 2007-06-14
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Competitor

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City NEWARK
Zip Code 07102

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Dataset Information

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.

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