DR. ROBERTHA MENDEZ MD
NPI 1972987907
Internal Medicine - Geriatric Medicine in Montclair, NJ

Active since July 20, 2015PECOS EnrolledAccepts Medicare Assignment
94.95/100
CMS Quality Rating
28 VALLEY RD # 148, MONTCLAIR, NJ 07042(973) 559-4600(855) 998-4358 Get Directions Write a Review

NPPES record last updated: May 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 23, 2025, Jun 23, 2021, Feb 9, 2021 (3 updates tracked since 2021).

About Dr. Robertha Mendez Md NPPES

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

DR. ROBERTHA MENDEZ MD (NPI 1972987907) is an individual geriatric medicine provider in Montclair, New Jersey, licensed in New Jersey (25MA11000300) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hackensack, and is a graduate of Rutgers New Jersey Medical School (2009).

NPPES Registry Identity

NPI1972987907
Entity TypeIndividualFemale
Primary Taxonomy207RG0300X
Provider Legal NameDR. ROBERTHA MENDEZCredential: MD
Location Address28 VALLEY RD # 148Montclair, NJ 07042-2709
Mailing Address336 Prospect AveHackensack, NJ 07601-2506
Fax(855) 998-4358
Sole ProprietorYes
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2009
Enumeration DateJuly 20, 2015
Last NPPES UpdateMay 23, 20253 updates tracked since enumeration
NPPES CertifiedMay 23, 2025
✔ NPI 1972987907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Licenses✔ Licensed in NJ · 25MA11000300✔ Licensed in NY · 301664
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
28 VALLEY RD # 148, Montclair, NJ 07042

Other Names 1

Former Name (1)Dr. Robertha Miller Md

Secondary Practice Location 1

Location 1336 Prospect AveHackensack, NJ 07601-2506 · Phone (201) 678-1800

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Robertha Mendez Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395083711
PECOS Enrollment IDI20210819003366
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Robertha Mendez reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
28 VALLEY RD # 148
Montclair, NJ 07042
  • Reassigned Medicare billing, New Jersey enrollment
  • 64 clinicians in this Medicare group
General Practice
116 VILLAGE BLVD STE 200
Princeton, NJ 08540
  • Reassigned Medicare billing, New Jersey enrollment
  • 421 clinicians in this Medicare group
Family Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 689 clinicians in this Medicare group
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
328 services32 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
24 services21 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
20 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07042 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
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 19

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

Nurse Practitioner (Family)
28 VALLEY RD # 148
MONTCLAIR, NJ 07042
Family Medicine
28 VALLEY RD # 148
MONTCLAIR, NJ 07042
Nurse Practitioner (Family)
28 VALLEY RD # 148
MONTCLAIR, NJ 07042
Nurse Practitioner
28 VALLEY RD # 148
MONTCLAIR, NJ 07042
Nurse Practitioner (Gerontology)
28 VALLEY RD # 148
MONTCLAIR, NJ 07042
General Practice
28 VALLEY RD # 148
MONTCLAIR, NJ 07042
Nurse Practitioner (Adult Health)
28 VALLEY RD # 148
MONTCLAIR, NJ 07042
Nurse Practitioner (Family)
28 VALLEY RD # 148
MONTCLAIR, NJ 07042

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 Robertha Mendez's NPI number?

The NPI number for Robertha Mendez is 1972987907. It was assigned to this individual provider in the NPPES registry on July 20, 2015. The provider is also known as Dr. Robertha Miller MD.

Where is Robertha Mendez located?

Robertha Mendez practices at 28 Valley Rd # 148, Montclair, NJ 07042. The listed phone number is (973) 559-4600.

What is Robertha Mendez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Robertha Mendez enrolled in Medicare?

Yes. Robertha Mendez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Robertha Mendez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robertha Mendez reassigns Medicare benefits to 4 organizations: Harmony Medical Services Of New Jersey LLC (Montclair, NJ), Signify Health Medical Associates Of New Jersey, LLC (Princeton, NJ), Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robertha Mendez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robertha Mendez accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Robertha Mendez 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 Robertha Mendez was last updated on May 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.