Individual provider Active NPI

Melissa Mondello, MD

  • Pediatrics Physician
  • Hatboro, PA
National Provider Identifier
1154528362
Registry record updated Jun 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD439223 Issued in PA
Practice address
483 E County Line Rd
Hatboro, PA 19040-1204
Phone
(215) 441-5670
Fax
(215) 441-5661
NPI assigned
Jun 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 77525 CT
Pediatrics Physician 208000000X 25MA11241200 NJ
Pediatrics Physician 208000000X MD439223 PA Primary

Addresses

Primary practice location

483 E County Line Rd
Hatboro, PA 19040-1204

Mailing address

483 E County Line Rd
Hatboro, PA 19040-1204
Phone (152) 441-5670

Other practice location 1

282 Washington St
Hartford, CT 06106-3322
Phone (860) 837-5560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CT2 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
I20101104000713 PA Practitioner - Pediatric Medicine 6305030271 Reassigns benefits to 3 organizations
I20240618001861 CT Practitioner - Pediatric Medicine 6305030271 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77525CTMDPediatrics Physician
25MA11241200NJMDPediatrics Physician
MD439223PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hatboro Pediatrics, PC Pediatrics CurrentSince Apr 18, 2022 Accepting new patients
Connecticut Children'S Specialty Group, Inc. Pediatrics CurrentSince Jun 4, 2024 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians Pediatrics CurrentSince Jul 11, 2010 Accepting new patients
Connecticut Children'S Specialty Group, Inc. Pediatrics CurrentSince Jun 4, 2024 Accepting new patients
Advocare, LLC Pediatrics CurrentSince Jan 18, 2020 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 11, 2010 Accepting new patients
Advocare , LLC CurrentSince Jan 18, 2020 Accepting new patients

Locations

599 Farmington Ave
Ste 202
Farmington, CT 06032
Phone (860) 837-5170

100 Retreat Ave
Ste 605
Hartford, CT 06106
Phone (860) 244-0148

10 Columbus Blvd
Fl 4
Hartford, CT 06106
Phone (860) 837-5560

10 Columbus Blvd
Ste 403
Hartford, CT 06106
Phone (860) 837-7250

282 Washington St
Hartford, CT 06106
Phone (860) 545-8950

10 Columbus Blvd
Hartford, CT 06106
Phone (860) 837-5619

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

1100 Horizon Cir
Ste 101
Chalfont, PA 18914
Phone (215) 394-0400

834 Chestnut St
Ste 306
Philadelphia, PA 19107
Phone (215) 545-8188

519 Penn Ave
Ste 206
Turtle Creek, PA 15145
Phone (412) 823-3121

483 E County Line Rd
Warminster, PA 18974
Phone (215) 441-5670

Interoperability endpoints

  • Direct secure messaging: mmondello91302@connecticutchildrens.direct-ci.com

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717891200000",
    "number": "1154528362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 E COUNTY LINE RD",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190401204",
            "telephone_number": "152-441-5670",
            "fax_number": "215-441-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 E COUNTY LINE RD",
            "city": "HATBORO",
            "state": "PA",
            "postal_code": "190401204",
            "telephone_number": "215-441-5670",
            "fax_number": "215-441-5661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "282 Washington St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061063322",
            "country_code": "US",
            "telephone_number": "860-837-5560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONDELLO",
        "first_name": "MELISSA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2024-06-09",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "77525",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA11241200",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD439223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hatboro, PA

Sources for this page

Verify at the official NPI Registry.