FREDERIC A MENDELSOHN NEURODIAGNOSTICS INC NPI 1568926822

NPI Information

  • NPI: 1568926822
  • Provider Name: FREDERIC A MENDELSOHN NEURODIAGNOSTICS INC
  • Classification: Radiology - 2085N0700X
  • Specialization: Neuroradiology
  • Entity Type: Organization
  • Address: 30 SEASIDE DR
    PORT JEFFERSON, NY
    ZIP 11777
  • Phone: (631) 987-3705

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NPI Details

FREDERIC A MENDELSOHN NEURODIAGNOSTICS INC is a neuroradiology radiology in Port Jefferson, NY. The provider is a radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. FREDERIC A MENDELSOHN NEURODIAGNOSTICS INC NPI is 1568926822. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

30 SEASIDE DR
PORT JEFFERSON, NY
ZIP 11777-132
Phone: (631) 987-3705

The provider's authorized official is Frederic A Mendelsohn .
The authorized official title is Owner/md and has the following contact phone number (631) 987-3705.

The enumeration date for this NPI number is 1/30/2019 and was last updated on 1/30/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085N0700XRadiologyNeuroradiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100655156MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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