Nicholas C Mondello

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

16 Pompton Ave
Pompton Lakes, NJ 07442-1895

Phone

(973) 835-2017

NPI assigned

Nov 17, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1510876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1174037717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 W BROADWAY",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075051014",
            "telephone_number": "973-977-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 POMPTON AVE",
            "city": "POMPTON LAKES",
            "state": "NJ",
            "postal_code": "074421895",
            "telephone_number": "973-835-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDELLO",
        "first_name": "NICHOLAS",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-17",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisabeth Mary Medino, LCSW
• Melinda Lee Miller
• Maria Elena Misito, LCSW
• Brian Moeltner
• Dora Molina
• Robin Montegari
• George Andrew Morris, D.C.
• Cole Mulholland
• Daniel Nasca
• Noah Matthew Natale

• Mental Health Counselor in Pompton Lakes, NJ
• Providers in Pompton Lakes, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.