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

Dr. Johnny Mendoza, MD

Individual provider Family Medicine Physician · NPI 1972008035

Dr. Johnny Mendoza, MD is a Family Practice in Ogdensburg, New York. Qualified in 2013, 13 years ago. Practices with United Cerebral Palsy Association of the North Country Inc, a 34-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
13
Licensed in
NY
In the registry since
2018
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

102 Ford St
Ogdensburg, NY 13669-1402
Phone: (315) 713-9350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 341268 (NY)

Record details

NPI number1972008035
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 29, 2018
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice United Cerebral Palsy Association Of The North Country Inc — 34 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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