Provider Demographics
NPI:1407818032
Name:MENDLER, JAMES CHRISTOPHER (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CHRISTOPHER
Last Name:MENDLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 KINDERKAMACK RD
Mailing Address - Street 2:
Mailing Address - City:ORADELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07649-1501
Mailing Address - Country:US
Mailing Address - Phone:201-833-3909
Mailing Address - Fax:201-833-7073
Practice Address - Street 1:514 KINDERKAMACK RD
Practice Address - Street 2:
Practice Address - City:ORADELL
Practice Address - State:NJ
Practice Address - Zip Code:07649-1501
Practice Address - Country:US
Practice Address - Phone:201-833-3909
Practice Address - Fax:201-833-7073
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06291500207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G95297Medicare UPIN
027985Medicare ID - Type Unspecified