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SEBASTIAN MENDOZA
NPI 1821523754
Dentist - Oral and Maxillofacial Surgery in Randolph, NJ

Active since April 28, 2017PECOS Enrolled
447 ROUTE 10 E STE 5, RANDOLPH, NJ 07869(973) 328-1555 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 2, 2022, Apr 28, 2017 (2 updates tracked since 2017).

About Sebastian Mendoza NPPES

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

SEBASTIAN MENDOZA (NPI 1821523754) is an individual oral and maxillofacial surgery provider in Randolph, New Jersey, licensed in New Jersey (22DI02676600) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821523754
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameSEBASTIAN MENDOZA
Location Address447 ROUTE 10 E STE 5Randolph, NJ 07869-2132
Mailing Address447 Route 10 E Ste 5Randolph, NJ 07869-2132
Phone(973) 328-1555
Sole ProprietorNo
Enumeration DateApril 28, 2017
Last NPPES UpdateAugust 2, 20222 updates tracked since enumeration
NPPES CertifiedAugust 2, 2022
✔ NPI 1821523754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in NJ · 22DI02676600
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
447 ROUTE 10 E STE 5, Randolph, NJ 07869
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sebastian Mendoza is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07869 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Sebastian Mendoza's NPI number?

The NPI number for Sebastian Mendoza is 1821523754. It was assigned to this individual provider in the NPPES registry on April 28, 2017.

Where is Sebastian Mendoza located?

Sebastian Mendoza practices at 447 Route 10 E Ste 5, Randolph, NJ 07869. The listed phone number is (973) 328-1555.

What is Sebastian Mendoza's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Sebastian Mendoza enrolled in Medicare?

Yes. Sebastian Mendoza is registered in the Medicare PECOS enrollment system.

What insurance does Sebastian Mendoza accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Sebastian Mendoza as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sebastian Mendoza was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.