Individual provider Active NPI

Mona S. Ismail, M.D.

  • Child & Adolescent Psychiatry Physician
  • Wilmington, NC
National Provider Identifier
1053355834
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
2020-04074 Issued in NC
Practice address
559 Musket Bay Dr
Wilmington, NC 28412-5421
Phone
(917) 455-8691
NPI assigned
Jun 15, 2006
Last updated
May 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2020-04074 NC
Psychiatry Physician 2084P0800X 25MA07582300 NJ
Child & Adolescent Psychiatry Physician 2084P0804X 25MA07582300 NJ
Child & Adolescent Psychiatry Physician 2084P0804X 2020-04074 NC Primary

Addresses

Primary practice location

559 Musket Bay Dr
Wilmington, NC 28412-5421

Mailing address

559 Musket Bay Dr
Wilmington, NC 28412-5421
Phone (347) 690-0881

Other practice location 1

53 Frontage Rd Fl 1
Hampton, NJ 08827-4031
Phone (833) 351-8255

Other practice location 2

109 W 27th St Ste 55
New York, NY 10001-0265
Phone (833) 351-8255

Other practice location 3

15000 Weston Pkwy Ofc 171
Cary, NC 27513-2118
Phone (833) 351-8255

Other identifiers 1

IdentifierTypeStateIssuer
02395715MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060330000621 NJ Practitioner - PsychiatryPractitioner - Neuropsychiatry 5294778593 Reassigns benefits to 2 organizations
I20201006000838 NC Practitioner - Psychiatry 5294778593 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

15000 Weston Pkwy
Private Office 171
Cary, NC 27513-2118
Phone (833) 351-8255

555 Fayetteville St
Suite 201
Raleigh, NC 27601-3034
Phone (833) 351-8255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2020-04074NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Partners of Englewood, PC CurrentSince May 31, 2025 Accepting new patients
Coastal Carolina Neuropsychiatric Center, PA Psychiatry CurrentSince Aug 23, 2022 Accepting new patients
Mission Health Community Multispecialty Providers, LLC CurrentSince Jun 2, 2025 Accepting new patients
Mission Health Community Multispecialty Providers, LLC Current Accepting new patients
Mission Community Anesthesiology Specialists LLC CurrentSince Jun 2, 2025 Accepting new patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince Apr 7, 2025 Accepting new patients
Helene Miller, MD, LLC Child & Adolescent Psychiatry CurrentSince Apr 1, 2022 Accepting new patients
Medical Associates of Englewood, PC CurrentSince May 31, 2025 Accepting new patients
Gaston Family Health Services, Inc. PastSince Dec 16, 2020 Accepting new patients
North Jersey Behavioral Medicine Past Accepting new patients

Locations

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

200 Tabernacle Rd
Black Mountain, NC 28711
Phone (828) 357-3611

15000 Weston Pkwy
Ofc 171
Cary, NC 27513
Phone (919) 925-3927

200 Tarpon Trl
Jacksonville, NC 28546
Phone 9109381114139

555 Fayetteville St
Ste 201
Raleigh, NC 27601
Phone (919) 780-4178

1630 Military Cutoff Rd
Ste 108
Wilmington, NC 28403

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

350 Engle St
#4E
Englewood, NJ 07631
Phone (201) 292-1400

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

17 Arcadian Way
Ste 108
Paramus, NJ 07652
Phone (201) 316-5581

351 Evelyn St
Paramus, NJ 07652
Phone (201) 265-1300

714 Broadway
Ste 2
Paterson, NJ 07514
Phone (201) 303-1875

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

Interoperability endpoints

  • Direct secure messaging: mismail43015@epicdirect.rwjbh.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1053355834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 MUSKET BAY DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284125421",
            "telephone_number": "347-690-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 MUSKET BAY DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284125421",
            "telephone_number": "917-455-8691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "53 Frontage Rd Fl 1",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "NJ",
            "postal_code": "088274031",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 W 27th St Ste 55",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100010265",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15000 Weston Pkwy Ofc 171",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275132118",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISMAIL",
        "first_name": "MONA",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2020-04074",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA07582300",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "25MA07582300",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NC",
            "license": "2020-04074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02395715",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.