Provider Demographics
NPI:1265641070
Name:MENDELSON, JOSHUA TODD (MD)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:TODD
Last Name:MENDELSON
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 1:107 MONMOUTH RD
Mailing Address - Street 2:SUIT 110
Mailing Address - City:WEST LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07764-1000
Mailing Address - Country:US
Mailing Address - Phone:732-935-1850
Mailing Address - Fax:732-544-0494
Practice Address - Street 1:11215 METRO PKWY STE 1
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33966-1206
Practice Address - Country:US
Practice Address - Phone:239-208-2212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT913672084N0400X
NJ25MA086728002084N0400X, 2084N0600X
NH208122084N0400X
FLME1459492084N0400X
MO20200373972084N0400X
PAMT1880772084N0400X
PAMD4762632084N0400X
GA619952084N0400X
LA3281492084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology