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Contact Information

JUSTIN MENDOZA, DO
440 OLD HOOK RD
EMERSON, NJ07630-2302
 Phone: 201-358-0707
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for JUSTIN MENDOZA · (Male)

NPI # 1316101389
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/17/2008
Last updated 04/21/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MB09068600
Hospital affiliation(s)
  • HACKENSACK UMC MOUNTAINSIDE - (Acute Care)
    BAY AND HIGHLAND AVE
    MONTCLAIR, NJ 07042
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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