Active NPI
Mona Marlynn Shangold, M.D.
- Gynecology Physician
- Philadelphia, PA
National Provider Identifier
1457313389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- MD-043719-E
- Practice address
- 1601 Walnut St
Suite 1200
Philadelphia, PA 19102-2944 - Phone
- (215) 851-0999
- Fax
- (215) 851-0996
- NPI assigned
- Apr 5, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | MD-043719-E | PA | Primary |
Addresses
Primary practice location
1601 Walnut St
Suite 1200
Philadelphia, PA 19102-2944
Mailing address
PO Box 306
Suite 1200
Moorestown, NJ 08057-0306
Phone (609) 923-1691
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-043719-E | PA | MD | Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466035200000",
"number": "1457313389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 306",
"address_2": "SUITE 1200",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080570306",
"telephone_number": "609-923-1691",
"fax_number": "856-273-7871"
},
{
"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": {
"last_name": "SHANGOLD",
"first_name": "MONA",
"middle_name": "MARLYNN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-05",
"last_updated": "2016-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "PA",
"license": "MD-043719-E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.