Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ernesto A Mendoza, MD

Individual provider Surgery Physician · NPI 1770593972

Dr. Ernesto A Mendoza, MD is a General Surgery in Elmhurst, New York. Qualified in 1974, 52 years ago. Practices with Interfaith Professional Physician Services PC, a 384-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
52
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

40-45 78th St
Elmhurst, NY 11373
Phone: (718) 397-9058
Fax: (718) 446-1298
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 152994-1 (NY)

Record details

NPI number1770593972
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 9, 2006
Last updated in NPPESMay 19, 2020
Certification dateMay 19, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Also practisesSURGICAL ONCOLOGY
Medical schoolOTHER
Graduated 1974 (52 years in practice)
Group practice Interfaith Professional Physician Services Pc — 384 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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