JENNILIZ MENDEZ (NPI# 1134514854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
495 N 13th St, Newark, NJ 071071317 | 9732685862 |
Street Address |
559 BROAD ST |
City | NEWARK |
State | NJ |
Zip Code | 07102-4503 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487253779 | Integrity, Inc | Clinic/Center | 1091-1093 Broad Street, Newark, NJ 07102 | 2020-10-19 |
1881292720 | Oluwaseun Ademulegun | Pharmacist | 1084 Broad Street, Newark, Newark, NJ 07102 | 2020-10-13 |
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 |
Find all providers in zip 07102 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
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. |
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 |
Find all providers in NEWARK |
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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.