FREDERIC A MENDELSOHN (NPI# 1336247691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336247691 |
| Entity Type | Individual |
| Full Name | FREDERIC A MENDELSOHN |
| Credential | MD |
| Practice Address |
650 Hawkins Ave Suite 7 Ronkonkoma NY 11779-2366 |
| Mailing Address |
Po Box 491 Port Jefferson Station NY 11776-0491 |
| Practice Telephone | 6317370055 |
| Practice Fax Number | 6317370076 |
| Mailing Telephone | 6317370055 |
| Mailing Fax Number | 6317370076 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2010-07-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
112676 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00655156 | 05 |
| Street Address |
650 HAWKINS AVE SUITE 7 |
| City | RONKONKOMA |
| State | NY |
| Zip Code | 11779-2366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902290869 | Todd J. Maltese, D.o., P.C. | Psychiatry & Neurology | 650 Hawkins Ave, Suite 7, Ronkonkoma, NY 11779-2366 | 2015-03-27 |
| 1659705119 | Adam Re' | Acupuncturist | 650 Hawkins Ave, Ronkonkoma, NY 11779-2366 | 2013-09-02 |
| 1114291804 | James M. Shinol, Acupuncture, PC | Acupuncturist | 650 Hawkins Ave, Suite 4, Ronkonkoma, NY 11779-2366 | 2012-02-28 |
| 1255521456 | Todd Joseph Maltese | Psychiatry & Neurology | 650 Hawkins Ave, Suite 7, Ronkonkoma, NY 11779-2366 | 2007-07-25 |
| 1205040359 | Linehan Physical Therapy of Long Island, PC | Clinic/Center | 650 Hawkins Ave, Suite 4, Ronkonkoma, NY 11779-2366 | 2007-05-09 |
| 1831264142 | Megan Cathleen Pettit | Physical Therapist | 650 Hawkins Ave, Suite 7, Ronkonkoma, NY 11780 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750929139 | Sebastian Godinez | Student in an Organized Health Care Education/Training Program | 11 First Street, Ronkonkoma, NY 11779 | 2019-12-16 |
| 1487149860 | John Deming | Student in an Organized Health Care Education/Training Program | 142 - 02 20th Avenue, Flushing, NY 11779 | 2018-06-27 |
| 1376060392 | Janine D'annunzio | Specialist | 316 Thirft Street, Ronkonkoma, NY 11779 | 2017-08-30 |
| 1932621935 | Vincent Joseph Lopreto | Counselor | 253 Lake Shore Road, Ronkonkoma, NY 11779 | 2017-07-11 |
| 1598295271 | Dalas Taddeo | Licensed Practical Nurse | 4490 Express Drive S, Ronkonkoma, NY 11779 | 2017-06-15 |
| 1790214112 | Pamela Ferrante | Social Worker | 131 Avenue D, Ronkonkoma, NY 11779 | 2017-06-08 |
| 1255868915 | Bari Home Care LLC | Health Maintenance Organization | 4417 Express Drive North, Ronkonkoma, NY 11779 | 2017-05-12 |
| 1013441328 | Caring Hands Home Care | Nursing Facility/Intermediate Care Facility | 65 Cheryl Drive, Ronkonkoma, NY 11779 | 2017-04-13 |
| 1831552025 | Jacqueline Galdamez | Social Worker | 979 Johnson Avenue, Ronkonkoma, NY 11779 | 2016-04-04 |
| 1891192530 | Alex Mitchell Pollack | Massage Therapist | 34 Richmond Blvd, #3a, Ronkonkoma, NY 11779 | 2014-11-24 |
| Find all providers in zip 11779 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003159740 | Jillian K Chan | Psychiatry & Neurology | 650 Hawkins Ave Ste 7, Ronkonkoma, NY 11779-2366 | 2013-04-01 |
| 1902290869 | Todd J. Maltese, D.o., P.C. | Psychiatry & Neurology | 650 Hawkins Ave, Suite 7, Ronkonkoma, NY 11779-2366 | 2015-03-27 |
| 1457789273 | F. Mendy Neurological PC | Psychiatry & Neurology | 201 Portion Rd, Suite B, Ronkonkoma, NY 11779-4172 | 2013-10-15 |
| 1467888453 | Eun Ah Helms | Psychiatry & Neurology | 650 Hawkins Ave Ste 7, Ronkonkoma, NY 11779-2366 | 2013-09-23 |
| 1386987956 | Maryana Liedke | Psychiatry & Neurology | 650 Hawkins Ave Ste 7, Ronkonkoma, NY 11779 | 2013-04-02 |
| 1255521456 | Todd Joseph Maltese | Psychiatry & Neurology | 650 Hawkins Ave, Suite 7, Ronkonkoma, NY 11779-2366 | 2007-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638275 | Oversight Physician Services Pllc | Psychiatry & Neurology | 198 Sussex Dr, Manhasset, NY 11030-3737 | 2020-08-04 |
| 1841818234 | Padmaja Aradhya Md Pllc | Psychiatry & Neurology | 17 Dillon Dr, Dix Hills, NY 11746-7945 | 2020-07-11 |
| 1184279085 | All Island Neurology PC | Psychiatry & Neurology | 11617 Atlantic Ave, Richmond Hill, NY 11418-3141 | 2019-08-07 |
| 1346802352 | Ny Neurology Medicine PC | Psychiatry & Neurology | 305 7th Ave Rm 13c, New York, NY 10001-6155 | 2019-07-01 |
| 1770144636 | Upstate Neurology P.C. | Psychiatry & Neurology | 804 Syska Rd, Ossining, NY 10562-1424 | 2019-06-21 |
| 1659836518 | David T Finkelstein | Psychiatry & Neurology | 3619 Bedford Ave Apt 1b, Brooklyn, NY 11210-5254 | 2019-02-05 |
| 1801360029 | Ghassan George Haddad | Psychiatry & Neurology | 20 Waterside Plz Apt 26e, New York, NY 10010-2665 | 2019-01-22 |
| 1427527472 | Daniel Ahoubim Md PC | Psychiatry & Neurology | 37 W 26th St Rm 204, New York, NY 10010-1145 | 2018-11-20 |
| 1053889378 | Paul Wright, M.d. | Psychiatry & Neurology | 500 N Broadway Ste 16, Jericho, NY 11753-2127 | 2018-11-05 |
| 1770096109 | Wpw Medical, Pllc | Psychiatry & Neurology | 280 Dobbs Ferry Rd Ste 206, White Plains, NY 10607-1912 | 2017-11-07 |
| Find all providers with the same taxonomy | ||||
| City | RONKONKOMA |
| Zip Code | 11779 |
Please comment or provide details below to improve the information on FREDERIC A MENDELSOHN.
| 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.