James R Mongiello, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

037581 Issued in NY

Practice address

55 Indian Head Rd
Kings Park, NY 11754-3704

Phone

(631) 269-4242

Fax

(631) 269-5325

NPI assigned

Jul 25, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003839556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 INDIAN HEAD RD",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117543704",
            "telephone_number": "631-269-4242",
            "fax_number": "631-269-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 INDIAN HEAD RD",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117543704",
            "telephone_number": "631-269-4242",
            "fax_number": "631-269-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONGIELLO",
        "first_name": "JAMES",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "037581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elissa Miller
• Christina Minervini-Bertin
• Andre Misso, LAC
• ML Wellness Medical PLLC
• Kayla J Moffitt, LMHC-D
• Corinne Montana-Stack, OT
• Dina Montemurro, NP
• Carol Ann Montoya
• Loretta Moraco
• Nieva Jacuba Morales

• General Practice Dentistry in Kings Park, NY
• Providers in Kings Park, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.