Individual provider Active NPI

Domenico Mignone, M.D.

  • Obstetrics & Gynecology Physician
  • Yonkers, NY
National Provider Identifier
1326168873
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
172714 Issued in NY
Practice address
955 Yonkers Ave
Suite 11
Yonkers, NY 10704-3060
Phone
(914) 776-2778
Fax
(914) 776-1274
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 172714 NY Primary

Addresses

Primary practice location

955 Yonkers Ave
Suite 11
Yonkers, NY 10704-3060

Mailing address

955 Yonkers Ave
Suite 11
Yonkers, NY 10704-3060
Phone (914) 776-2778

Other identifiers 1

IdentifierTypeStateIssuer
01130267MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040407001254 NY Practitioner - Obstetrics/Gynecology 8022001643 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

184 E 70 St
Suite B2
New York, NY 10021-5154
Phone (212) 472-4822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
172714NYMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326168873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 YONKERS AVE",
            "address_2": "SUITE 11",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107043060",
            "telephone_number": "914-776-2778",
            "fax_number": "914-776-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 YONKERS AVE",
            "address_2": "SUITE 11",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107043060",
            "telephone_number": "914-776-2778",
            "fax_number": "914-776-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGNONE",
        "first_name": "DOMENICO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "172714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01130267",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.