Organization Active NPI

Philip G. Mondi, M.D., P.a.

  • Preferred Provider Organization
  • Pinehurst, NC
National Provider Identifier
1053776120
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
9601769 Issued in NC
Legal business name
PHILIP G. MONDI, M.D., P.A.
Practice address
80 Aviemore CT
Suite C
Pinehurst, NC 28374-9732
Phone
(910) 235-3195
Fax
(910) 235-3431
NPI assigned
Dec 16, 2015
Last updated
Dec 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Authorized official

Name
Dr. Philip G Mondi, M.D.
Title
Physician
Phone
(910) 235-3195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 9601769 NC Primary

Addresses

Primary practice location

80 Aviemore CT
Suite C
Pinehurst, NC 28374-9732

Mailing address

80 Aviemore CT
Suite C
Pinehurst, NC 28374-9732
Phone (910) 235-3195

National Provider Directory

National Provider Directory

Locations

80 Aviemore Ct
Ste C
Pinehurst, NC 28374
Phone (910) 215-0100

NPI Registry JSON

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1053776120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 AVIEMORE CT",
            "address_2": "SUITE C",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749732",
            "telephone_number": "910-235-3195",
            "fax_number": "910-235-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 AVIEMORE CT",
            "address_2": "SUITE C",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749732",
            "telephone_number": "910-235-3195",
            "fax_number": "910-235-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP G. MONDI, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "MONDI",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "910-235-3195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NC",
            "license": "9601769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.