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

Dr. Michael Alexander Mederos

Individual provider Surgery Physician · NPI 1821529611

Dr. Michael Alexander Mederos is a Surgery Physician in New York, New York. Licensed in Texas. Registered with an NPI since 2017.

Licensed in
TX
In the registry since
2017

Practice location Address checks out

1275 York Ave
New York, NY 10065-6007
Phone: (212) 639-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence W4153 (TX)

Record details

NPI number1821529611
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 23, 2017
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

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