Active NPI
Philip G. Mondi, M.D., P.a.
- Preferred Provider Organization
- Pinehurst, NC
National Provider Identifier
1053776120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- 9601769
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.