Provider Demographics
NPI:1780146001
Name:MEJIA, JAVIER ORLANDO (MD)
Entity type:Individual
Prefix:DR
First Name:JAVIER
Middle Name:ORLANDO
Last Name:MEJIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JAVIER
Other - Middle Name:ORLANDO
Other - Last Name:MEJIA GABALDON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:7901 35TH AVE APT 1B
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-2715
Mailing Address - Country:US
Mailing Address - Phone:718-424-7831
Mailing Address - Fax:
Practice Address - Street 1:1468 MADISON AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6508
Practice Address - Country:US
Practice Address - Phone:212-241-6500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-04
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY335310208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)