Active NPIIndividual providerSole proprietor

Rafael Mendoza

Supports Brokerage in Mullica Hill, New Jersey

NPI Number1770051450
Practice location
39 Fostertown Ln, Mullica Hill, NJ 08062-2205
Fax
—
Last updated
November 11, 2018

Rafael Mendoza is a Supports Brokerage based in Mullica Hill, NJ. Rafael Mendoza practices in Mullica Hill, NJ. The NPI Number for Rafael Mendoza is 1770051450. The current practice location address for Rafael Mendoza is 39 Fostertown Ln, Mullica Hill, NJ 08062-2205 and can be reached out via phone at 917-969-9147.

Provider Profile Details

NPI Number
1770051450
Provider Name
Rafael Mendoza
Provider Entity Type
Individual
Gender
Male
Address
39 Fostertown Ln, Mullica Hill, NJ 08062-2205
Phone Number
917-969-9147
Primary Taxonomy
Supports Brokerage · 251X00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 11, 2018
Last Update Date
November 11, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
39 Fostertown Ln
Mullica Hill, NJ 08062-2205
Zip
08062-2205
Phone Number
917-969-9147
Mullica Hill, NJ 08062Get directions →

Provider Business Mailing Address Details

Address
39 Fostertown Ln
Mullica Hill, NJ 08062-2205
City
Mullica Hill
State
NJ
Zip
08062-2205
Phone Number
917-969-9147

License Information

Taxonomy
Supports Brokerage · 251X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Rafael Mendoza?

The NPI number of Rafael Mendoza is 1770051450. It was assigned on November 11, 2018 and is currently active in the NPPES registry.

What is the specialty of Rafael Mendoza?

Rafael Mendoza is registered under the primary taxonomy Supports Brokerage (code 251X00000X).

Where does Rafael Mendoza practice?

The practice location is 39 Fostertown Ln, Mullica Hill, NJ 08062-2205. The office can be reached at 917-969-9147 (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 1770051450 directly on the NPPES registry website.

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