Active NPI
Michael Mongiello
- Certified Registered Nurse Anesthetist
- Jersey City, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 26NR13910400
- Practice address
- 355 Grand St
Jersey City, NJ 07302-4321 - Phone
- (201) 915-2000
- NPI assigned
- Apr 22, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 26NR13910400 | NJ | Primary |
Addresses
Primary practice location
355 Grand St
Jersey City, NJ 07302-4321
Mailing address
234 Suydam Ave Apt 502
Jersey City, NJ 07304-3387
Phone (215) 678-6956
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
355 Grand St
Jersey City, NJ 07302-4321
Phone (201) 915-2000
7600 River Rd
North Bergen, NJ 07047-6217
Phone (201) 854-5000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 94.87
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR13910400 | NJ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rwjbh Observation Associates LLC | Current | Accepting new patients | |
| Parkway Anesthesia Associates LLC | Current | Accepting new patients |
Locations
355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224
1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100
7600 River Rd
North Bergen, NJ 07047
Phone (201) 854-5000
110 Rehill Ave
Somerville, NJ 08876
Phone (908) 429-5833
1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- North Bergen, NJ
- NPI 1518319755
-
- Emergency Medicine Physician
- Livingston, NJ
- NPI 1760095806
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Palisades Medical Center
- General Acute Care Hospital
- North Bergen, NJ
- NPI 1730692344
-
dba Hackensack Meridian Diagnostic Laboratory
- Clinical Medical Laboratory
- North Bergen, NJ
- NPI 1952028532
Hospital
-
- General Acute Care Hospital
- Jersey City, NJ
- NPI 1689744856
-
dba Jersey City Medical Center/AMB
- Ambulance
- Jersey City, NJ
- NPI 1871738021
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587513600000",
"number": "1275153041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 SUYDAM AVE APT 502",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073043387",
"telephone_number": "215-678-6956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 GRAND ST",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073024321",
"telephone_number": "201-915-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONGIELLO",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-22",
"last_updated": "2020-04-22",
"certification_date": "2020-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "26NR13910400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.