NPIMap

Organization Active NPI

Mona M. Shangold, MD, PC

  • Gynecology Physician
  • Philadelphia, PA
National Provider Identifier
1417988189
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
MD-043719-E Issued in PA
Legal business name
MONA M. SHANGOLD, MD, PC
Practice address
1601 Walnut St
Suite 1200
Philadelphia, PA 19102-2944
Phone
(215) 851-0999
Fax
(215) 851-0996
NPI assigned
Jul 5, 2006
Last updated
Feb 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Dr. Mona Marlynn Shangold, M.D.NPI 1457313389
Title
President
Phone
(215) 851-0999

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X MD-043719-E PA
Gynecology Physician 207VG0400X MD-043719-E PA Primary

Addresses

Primary practice location

1601 Walnut St
Suite 1200
Philadelphia, PA 19102-2944

Mailing address

1601 Walnut St
Suite 1200
Philadelphia, PA 19102-2944
Phone (215) 851-0999

Other names 1

  • The Center for Women's Health & Sports Gynecology Other name

National Provider Directory

National Provider Directory

Locations

1601 Walnut St
Ste 1200
Philadelphia, PA 19102
Phone (215) 851-0999

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1417988189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 WALNUT ST",
            "address_2": "SUITE 1200",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022944",
            "telephone_number": "215-851-0999",
            "fax_number": "215-851-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 WALNUT ST",
            "address_2": "SUITE 1200",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022944",
            "telephone_number": "215-851-0999",
            "fax_number": "215-851-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONA M. SHANGOLD, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "SHANGOLD",
        "authorized_official_first_name": "MONA",
        "authorized_official_middle_name": "MARLYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-851-0999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PA",
            "license": "MD-043719-E",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PA",
            "license": "MD-043719-E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center for Women's Health & Sports Gynecology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.