Organization Active NPI

Satish K Mongia MD PC

  • Neurology Physician
  • Jamestown, NY
National Provider Identifier
1205015542
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
123791 Issued in NY
Legal business name
SATISH K MONGIA MD PC
Practice address
320 Prather Ave
Jamestown, NY 14701-6820
Phone
(716) 487-1161
Fax
(716) 487-1163
NPI assigned
Nov 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Authorized official

Name
Faith/Claudia M Senske/ Toth
Title
Bookkeeper/Assistant
Phone
(716) 487-1161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 123791 NY Primary

Addresses

Primary practice location

320 Prather Ave
Jamestown, NY 14701-6820

Mailing address

320 Prather Ave
Jamestown, NY 14701-6820
Phone (716) 487-1161

Other identifiers 2

IdentifierTypeStateIssuer
00631021MedicaidNY
B71543OtherNYUPIN

National Provider Directory

National Provider Directory

Locations

617 Central Ave
Dunkirk, NY 14048
Phone (716) 366-1223

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1205015542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 PRATHER AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016820",
            "telephone_number": "716-487-1161",
            "fax_number": "716-487-1163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 PRATHER AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016820",
            "telephone_number": "716-487-1161",
            "fax_number": "716-487-1163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SATISH K MONGIA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "SENSKE/ TOTH",
        "authorized_official_first_name": "FAITH/CLAUDIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BOOKKEEPER/ASSISTANT",
        "authorized_official_telephone_number": "716-487-1161"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "123791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00631021",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "B71543",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.

Verify at the official NPI Registry.