MR. JOSE MENDIOLA (P.T.) – Physical Therapist, NPI 1396833281

MR. JOSE MENDIOLA (P.T.) is a healthcare provider. based in Secaucus, New Jersey. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials P.T.. They hold a License No. 40QA00377800 (NJ). The NPI Number for MR. JOSE MENDIOLA (P.T.) is 1396833281

Main info

Male
Sole Proprietor
40 Years Of Experience
Name
MR. JOSE MENDIOLA (P.T.)
NPI
1396833281
Phone
(732) 819-0725
Address
150 FLANAGAN WAY
Enumeration Date
10 October 2006
Last Update Date
29 February 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9086883366
Graduation Year
1986 (40 years ago)
PAC ID
4284616442
Professional Enrollment ID
I20040602001244
Address ID
NJ070835753UN2333XAVEX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,954 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NJ

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Provider Addresses for MR. JOSE MENDIOLA (P.T.)

  • Irene Hong, 150, Flanagan Way, North End Business District, Secaucus, Hudson County, New Jersey, 07094, United States

    SECAUCUS, NJ 070943445

    Phone: (732) 819-0725

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-06-02

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040602001244IPhysical Therapist In Private PracticeNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07094)

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Reviews

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Frequently asked questions

What NPI should I save for MR. JOSE MENDIOLA (P.T.)?
Save NPI 1396833281 if you need a stable reference for MR. JOSE MENDIOLA (P.T.).
Does this profile mean MR. JOSE MENDIOLA (P.T.) is currently active?
Yes — MR. JOSE MENDIOLA (P.T.) appears active in the national provider directory.
What field does MR. JOSE MENDIOLA (P.T.) work in?
You can think of MR. JOSE MENDIOLA (P.T.) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for MR. JOSE MENDIOLA (P.T.)?
We surface Secaucus, New Jersey for MR. JOSE MENDIOLA (P.T.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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