Active NPIIndividual providerSole proprietor

Dr. Johnny Mendoza, MD

Family Medicine in Ogdensburg, New York

NPI Number1972008035
Practice location
102 Ford St, Ogdensburg, NY 13669-1402
Fax
—
Last updated
February 3, 2026

Johnny Mendoza is a Family Medicine based in Ogdensburg, NY. Johnny Mendoza practices in Ogdensburg, NY and has the professional credentials of MD. The NPI Number for Johnny Mendoza is 1972008035 and holds a License No. 341268 (NY). The current practice location address for Johnny Mendoza is 102 Ford St, Ogdensburg, NY 13669-1402 and can be reached out via phone at 315-713-9350.

Provider Profile Details

NPI Number
1972008035
Provider Name
Johnny Mendoza
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
102 Ford St, Ogdensburg, NY 13669-1402
Phone Number
315-713-9350
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 29, 2018
Last Update Date
February 3, 2026
Certification Date
February 3, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
102 Ford St
Ogdensburg, NY 13669-1402
Zip
13669-1402
Phone Number
315-713-9350
Ogdensburg, NY 13669Get directions →

Provider Business Mailing Address Details

Address
A2 Villa Del Carmen
Cabo Rojo, PR 00623-4310
City
Cabo Rojo
State
PR
Zip
00623-4310
Phone Number
939-599-0160

License Information

License Number
341268
License State
NY
Taxonomy
Family Medicine · 207Q00000X · 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 Dr. Johnny Mendoza, MD?

The NPI number of Dr. Johnny Mendoza, MD is 1972008035. It was assigned on March 29, 2018 and is currently active in the NPPES registry.

What is the specialty of Dr. Johnny Mendoza, MD?

Dr. Johnny Mendoza, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NY under license number 341268.

Where does Dr. Johnny Mendoza, MD practice?

The practice location is 102 Ford St, Ogdensburg, NY 13669-1402. The office can be reached at 315-713-9350 (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 1972008035 directly on the NPPES registry website.

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