Active NPI
Frank Mongiello
- Basic Emergency Medical Technician
- Bridgewater, NJ
National Provider Identifier
1093051922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- M64042670010592
- Practice address
- 256 Old York Rd
Bridgewater, NJ 08807-2676 - Phone
- (908) 930-0014
- NPI assigned
- Dec 21, 2012
- Last updated
- Dec 21, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | M64042670010592 | NJ | Primary |
Addresses
Primary practice location
256 Old York Rd
Bridgewater, NJ 08807-2676
Mailing address
256 Old York Rd
Bridgewater, NJ 08807
Phone (908) 930-0014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M64042670010592 | NJ | MD | Basic Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356048000000",
"number": "1093051922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "256 OLD YORK RD",
"city": "BRIDGEWATER",
"state": "NJ",
"postal_code": "08807",
"telephone_number": "908-930-0014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 OLD YORK RD",
"city": "BRIDGEWATER",
"state": "NJ",
"postal_code": "088072676",
"telephone_number": "908-930-0014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONGIELLO",
"first_name": "FRANK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-12-21",
"last_updated": "2012-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "NJ",
"license": "M64042670010592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgewater, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.