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

Individual provider Internal Medicine Physician · NPI 1598743007

Dr. Mariano Mederos, MD is an Internal Medicine in Ridgewood, New York. Qualified in 1981, 45 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
45
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

311 Saint Nicholas Ave Ste E
Ridgewood, NY 11385-2296
Phone: (718) 894-2500
Fax: (718) 417-4535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 156182 (NY)

Record details

NPI number1598743007
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 4, 2006
Last updated in NPPESJune 6, 2016

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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