Glenn J Mendoza

MD | Pediatric Neonatal-Perinatal Medicine | Male

Glenn J Mendoza, MD is a Suffern, New York based Pediatric doctor with medical specialization in Pediatric Neonatal-Perinatal Medicine. Current practice location of Glenn J Mendoza is 255 Lafayette Ave, Suffern, New York - 10901-4817. He can be contacted on phone at 914-493-8558 and fax number 914-493-1488. Glenn J Mendoza is a sole proprietor of his business.
NPI number (Unique professional ID) for Glenn J Mendoza is 1205823796 which was assigned by NPPES on 30 Sep, 2005 and it was last updated on 26 Sep, 2008. Glenn J Mendoza license number is 148338 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in New York.
Glenn J Mendoza is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Glenn J Mendoza basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics Neonatal-Perinatal Medicine
Provider Name :Glenn J Mendoza
Credential :MD
Gender :Male
Business Address:
Glenn J Mendoza address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :255 Lafayette Ave
Suffern, NY, 10901-4817
United States
Phone Number :914-493-8558
Fax Number :914-493-1488
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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). NPI details are as mentioned below.
NPI Number : 1205823796
NPI Entity Type : Individual
First Enrolment Date : 30 Sep, 2005
Last Updated On : 26 Sep, 2008
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Glenn J Mendoza are as mentioned. Primary taxonomy code for Glenn J Mendoza, MD is 2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
Taxonomy Code SpecialityPrimaryLicense No.State
2080N0001XPediatrics Neonatal-Perinatal MedicineYes148338NY
Legacy Identifiers:
Other legacy medical identifiers of Glenn J Mendoza such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
7414706MEDICAIDNJ
00992998MEDICAIDNY
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :95 Grasslands Rd, Munger Pavilion Ste 120
Valhalla, NY, 10595-1652
United States
Phone Number :914-493-8558
Fax Number :914-493-1488
Business Location:
Patients can refer following map for directions to Glenn J Mendoza practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.