Michael W Mendelson


Address: 5360 Nesconset Hwy, Suite B, Port Jefferson Station, NY 11776-2018

Michael W Mendelson (NPI# 1043323835, PAC ID# 9830214691) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1043323835
PAC ID by PECOS 9830214691
Professional Enrollment ID I20100916000622
Full Name Michael W Mendelson
Address 5360 Nesconset Hwy
Suite B
Port Jefferson Station
NY 11776-2018
Gender M
Medical School SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 1965
Primary Specialty INTERNAL MEDICINE
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330246 ST CHARLES HOSPITAL
330185 JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON

Other Locations

Address Phone Organization
200 Belle Terre Rd, Port Jefferson, NY 11777-1928 6314656225 CARDIAC EKG INTERPRETATION, P. C.
5360 Nesconset Hwy, Suite B, Port Jefferson Station, NY 11776-2018
1000 Montauk Hwy, West Islip, NY 11795-4927 6314656225 CARDIAC EKG INTERPRETATION, P. C.

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Office Location

Street Address 5360 NESCONSET HWY
SUITE B
City PORT JEFFERSON STATION
State NY
Zip 11776-2018

Physicians in the same location

Name Specialty Organization Address
Kenneth George Rosenthal Internal Medicine 5360 Nesconset Hwy, Port Jefferson Station, NY 11776-2018

Physicians in the same zip code

Name Specialty Organization Address
Varghese P Cherian Diagnostic Radiology North Shore Hematology Oncology Associates PC 49 Nesconset Hwy, Port Jefferson Station, NY 11776
Todd Hoffman Physical Therapy North Shore Hematology Oncology Associates PC 49 Nesconset Hwy, Port Jefferson Station, NY 11776
Rocco F Caruso Hematology/oncology North Shore Hematology Oncology Associates PC 49 Nesconset Hwy, Port Jefferson Station, NY 11776
Alfredo Enrique Torres Hematology/oncology North Shore Hematology Oncology Associates PC 49 Nesconset Hwy, Port Jefferson Station, NY 11776
Diane Clausen Hospice/palliative Care North Shore Hematology Oncology Associates PC 49 Nesconset Hwy, Port Jefferson Station, NY 11776
Lauren Mcgarty Registered Dietitian Or Nutrition Professional North Shore Hematology Oncology Associates PC 49 Nesconset Hwy, Port Jefferson Station, NY 11776
Jared M Dunkin Diagnostic Radiology North Shore Hematology Oncology Associates PC 49 Nesconset Hwy, Port Jefferson Station, NY 11776
Patricia Walsh Perez Certified Clinical Nurse Specialist (cns) 55 Nesconset Hwy, Suite 3, Port Jefferson Station, NY 11776
Lynnann S Obray-donohue Qualified Audiologist 4747-8 Nesconset Hwy, Port Jefferson Station, NY 11776
Antoun Saba Mitromaras General Practice 509 Patchogue Rd, Port Jefferson Station, NY 11776-1006
Find all physicians in zip 11776

Competitor

Search similar physicians

City PORT JEFFERSON STATION
Zip Code 11776
Specialty INTERNAL MEDICINE
City + Specialty PORT JEFFERSON STATION + INTERNAL MEDICINE

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Dataset Information

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.

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