DR. MELCHIAS NJINGULULA MUKENDI MD NPI 1780764365

NPI Information

NPI: 1780764365
Provider Name: DR. MELCHIAS NJINGULULA MUKENDI, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
3511 QUEENS BLVD
SUITES 01 & 02
LONG ISLAND CITY, NY
ZIP 11101
Phone: (718) 433-1015
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DR. Melchias Njingulula Mukendi, MD is a general practice in Long Island City, NY. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Melchias Njingulula Mukendi, MD NPI is 1780764365. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3511 QUEENS BLVD
SUITES 01 & 02
LONG ISLAND CITY, NY
ZIP 11101-720
Phone: (718) 433-1015
Fax: (718) 433-1019

The enumeration date for this NPI number is 10/17/2006 and was last updated on 7/8/2007.

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
1	208D00000X	General Practice		187870	NEW YORK	Yes

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
1	F19926	MEDICARE UPIN	NEW YORK
2	07647	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
3	02744970	MEDICAID	NEW 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: 5/5/2024

NPI Synchronization or Removal

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