Active NPI
Justin C McMonigle, M.D.
- Pediatrics Physician
- New Albany, IN
National Provider Identifier
1306805205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 01060399A
- Practice address
- 2305 Green Valley Rd
New Albany, IN 47150-4649 - Phone
- (812) 949-0405
- Fax
- (812) 949-0445
- NPI assigned
- Mar 20, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 01060399A | IN | Primary |
Addresses
Primary practice location
2305 Green Valley Rd
New Albany, IN 47150-4649
Mailing address
2305 Green Valley Rd
New Albany, IN 47150-4649
Phone (812) 949-0405
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200525870 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01060399A | IN | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nassim and Associates, PSC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- New Albany, IN
- NPI 1710034293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394496000000",
"number": "1306805205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2305 GREEN VALLEY RD",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471504649",
"telephone_number": "812-949-0405",
"fax_number": "812-949-0445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2305 GREEN VALLEY RD",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471504649",
"telephone_number": "812-949-0405",
"fax_number": "812-949-0445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMONIGLE",
"first_name": "JUSTIN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-20",
"last_updated": "2014-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01060399A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200525870",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Albany, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.