Dr Ardi Knobel Nuevo Mendoza, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in New York, New York. He went to Rutgers R W Johnson Medical School (cam/new Bruns/pisc) and graduated in 2021 and has 4 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Trustees Of Columbia University In The City Of New York and his current practice location is
622 W 168th St, New York, New York. You can reach out to his office (for appointments etc.) via phone at
(212) 305-2995.
Dr Ardi Knobel Nuevo Mendoza is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1093397812.
Physician's Profile
| Full Name | Dr Ardi Knobel Nuevo Mendoza |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 4 Years |
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| Location | 622 W 168th St, New York, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Ardi Knobel Nuevo Mendoza attended and graduated from Rutgers R W Johnson Medical School (cam/new Bruns/pisc) in 2021
NPI Data:
- NPI Number: 1093397812
- Provider Enumeration Date: 04/21/2021
- Last Update Date: 06/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 8426565185
- Enrollment ID: I20250728002346
Medical Identifiers
Medical identifiers for Dr Ardi Knobel Nuevo Mendoza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1093397812 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 336660 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Trustees Of Columbia University In The City Of New York | 8527972546 | 2014 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ardi Knobel Nuevo Mendoza is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Ardi Knobel Nuevo Mendoza, MD
622 W 168th St,
New York, NY 10032-3720
Ph: (212) 305-2995 | Dr Ardi Knobel Nuevo Mendoza, MD
622 W 168th St,
New York, NY 10032-3720
Ph: (212) 305-2995 |
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