Philip Mongelluzzo III, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

053069-01 Issued in NY

Practice address

233 Malcolm X Blvd
New York, NY 10027-6498

Phone

(212) 222-6525

NPI assigned

Sep 9, 2024

Sex

Male

Sole proprietor

Yes

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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Park North Physical Therapy, PLLCGroup PAC ID 9335238781, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Park North Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1194930511
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1255167136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6864 YELLOWSTONE BLVD APT A23",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 MALCOLM X BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100276498",
            "telephone_number": "212-222-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONGELLUZZO",
        "first_name": "PHILIP",
        "name_suffix": "III",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "053069-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bharat Monga, M.D.
• Ratna Monga, DDS
• Angela Monge, PH.D
• Francesca Mongelli, INTERN
• Michael Nicholas Mongelli, MD
• Grace Monger
• Anne Marie Mongiello, PMHNP, RN
• Michael T. Mongno, PH.D
• Amanda Mongoven, PT, DPT
• Veeshal Mongroo, PHARM.D.

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.