Jesus A Mendoza Jr.
Specialist/Technologist, Athletic Trainer in Bloomfield, New Jersey
1639768203- Practice location
- 141 Broughton Ave, Bloomfield, NJ 07003-3930
- Phone
- 862-333-8800
- Fax
- —
- Last updated
- January 18, 2021
Jesus Alberto Mendoza is a Specialist/Technologist, Athletic Trainer based in Bloomfield, NJ. Jesus Alberto Mendoza practices in Bloomfield, NJ. The NPI Number for Jesus Alberto Mendoza is 1639768203 and holds a License No. M25164016101012 (NJ). The current practice location address for Jesus Alberto Mendoza is 141 Broughton Ave, Bloomfield, NJ 07003-3930 and can be reached out via phone at 862-333-8800.
Provider Profile Details
- NPI Number
- 1639768203
- Provider Name
- Jesus Alberto Mendoza
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 141 Broughton Ave, Bloomfield, NJ 07003-3930
- Phone Number
- 862-333-8800
- Primary Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 18, 2021
- Last Update Date
- January 18, 2021
- Certification Date
- January 15, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 141 Broughton Ave
Bloomfield, NJ 07003-3930 - City
- Bloomfield
- State
- New Jersey
- Zip
- 07003-3930
- Phone Number
- 862-333-8800
Provider Business Mailing Address Details
- Address
- 141 Broughton Ave
Bloomfield, NJ 07003-3930 - City
- Bloomfield
- State
- NJ
- Zip
- 07003-3930
- Phone Number
- 862-333-8800
License Information
- License Number
- M25164016101012
- License State
- NJ
- Taxonomy
- Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jesus A Mendoza Jr.?
The NPI number of Jesus A Mendoza Jr. is 1639768203. It was assigned on January 18, 2021 and is currently active in the NPPES registry.
What is the specialty of Jesus A Mendoza Jr.?
Jesus A Mendoza Jr. is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in NJ under license number M25164016101012.
Where does Jesus A Mendoza Jr. practice?
The practice location is 141 Broughton Ave, Bloomfield, NJ 07003-3930. The office can be reached at 862-333-8800 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639768203 directly on the NPPES registry website.