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GLENN J MENDOZA MD
NPI 1205823796
Pediatrics - Neonatal-Perinatal Medicine in Suffern, NY

Active since September 30, 2005
255 LAFAYETTE AVE, SUFFERN, NY 10901(914) 493-8558(914) 493-1488 Get Directions Write a Review

NPPES record last updated: September 26, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Glenn J Mendoza Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENN J MENDOZA MD (NPI 1205823796) is an individual neonatal-perinatal medicine provider in Suffern, New York, licensed in New York (148338) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1205823796
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameGLENN J MENDOZACredential: MD
Location Address255 LAFAYETTE AVESuffern, NY 10901-4817
Mailing Address95 Grasslands Rd, Munger Pavilion Ste 120Valhalla, NY 10595-1652 · (914) 493-8558 · Fax (914) 493-1488
Phone(914) 493-8558
Fax(914) 493-1488
Sole ProprietorNo
Enumeration DateSeptember 30, 2005
Last NPPES UpdateSeptember 26, 2008
✔ NPI 1205823796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in NY · 148338
Definition
A pediatrician who 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.
255 LAFAYETTE AVE, Suffern, NY 10901
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Other Identifiers 4

Medicare UPINA63340NY
Medicaid00992998NY
Medicaid7414706NJ
Medicare PIN5176N1NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAREEM ELTAKI ELTAKI MD
Anesthesiology
255 LAFAYETTE AVE
SUFFERN, NY 10901
Rockland County (845) 368-5000
HOLLY DURNIAK
Speech-Language Pathologist
255 LAFAYETTE AVE
SUFFERN, NY 10901
Rockland County (845) 368-5000
DR. JANE K KIM MD
Anesthesiology
255 LAFAYETTE AVE, GOOD SAMARITAN HOSPITAL
SUFFERN, NY 10901
Rockland County (845) 368-5000
ROBERT PALACIOS
Anesthesiology
255 LAFAYETTE AVE
SUFFERN, NY 10901
Rockland County (845) 368-5000
MARY ROSE ABPLANALP N.P.
Nurse Practitioner (Acute Care)
255 LAFAYETTE AVE
SUFFERN, NY 10901
Rockland County (845) 323-2942
MRS. ALISON M SULLIVAN RD
Dietitian, Registered
255 LAFAYETTE AVE, NUTRITION SERVICES
SUFFERN, NY 10901
Rockland County (845) 368-5016
STEPHANIE MOURA M.D.
Anesthesiology
255 LAFAYETTE AVE
SUFFERN, NY 10901
Rockland County (845) 357-5775
DR. BERNARD BAEZ M.D.
Anesthesiology
255 LAFAYETTE AVE
SUFFERN, NY 10901
Rockland County (845) 368-5039

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenn Mendoza's NPI number?

The NPI number for Glenn Mendoza is 1205823796. It was assigned to this individual provider in the NPPES registry on September 30, 2005.

Where is Glenn Mendoza located?

Glenn Mendoza practices at 255 Lafayette Ave, Suffern, NY 10901. The listed phone number is (914) 493-8558.

What is Glenn Mendoza's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

When was this NPI record last updated?

The NPPES record for Glenn Mendoza was last updated on September 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.