NPIMap

Organization Active NPI

Dr. Jennifer McMonigle Medical, P.C.

Doing business as McMonigle-Neurology Associates

  • Neurology Physician
  • East Northport, NY
National Provider Identifier
1497392617
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
DR. JENNIFER MCMONIGLE MEDICAL, P.C.
Doing business as
McMonigle-Neurology Associates
Practice address
554 Larkfield Rd Ste 10G
East Northport, NY 11731-4205
Phone
(631) 230-6644
Fax
(631) 230-6645
NPI assigned
Dec 6, 2019
Last updated
Mar 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Authorized official

Name
Dr. Jennifer McMonigle, DONPI 1912958802
Title
President
Phone
(631) 230-6644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X Primary

Addresses

Primary practice location

554 Larkfield Rd Ste 10G
East Northport, NY 11731-4205

Mailing address

554 Larkfield Rd Ste 10G
East Northport, NY 11731-4205
Phone (631) 230-6644

Other names 1

  • MCMONIGLE-NEUROLOGY ASSOCIATES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200217002587 NY Part B Supplier - Clinic/Group Practice 3173950904 Receives reassigned benefits from 6 practitioners
Practice locations: Garden City, NY; East Northport, NY

National Provider Directory

National Provider Directory

Locations

300 Garden City Plz
Ste 330
Garden City, NY 11530
Phone (516) 268-3026

400 Garden City Plz
Ste 103
Garden City, NY 11530

1045 W Jericho Tpke
Smithtown, NY 11787
Phone (631) 543-8844

Practitioners & affiliated clinicians

Practitioners 8

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": "1575590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1497392617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 LARKFIELD RD STE 10G",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117314205",
            "telephone_number": "631-230-6644",
            "fax_number": "631-230-6645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 LARKFIELD RD STE 10G",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117314205",
            "telephone_number": "631-230-6644",
            "fax_number": "631-230-6645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JENNIFER MCMONIGLE MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-06",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "MCMONIGLE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-230-6644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCMONIGLE-NEUROLOGY ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MCMONIGLE-NEUROLOGY ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Northport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.