Nzota Dilan Mongwo Jr., NURSE

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

5867 Forest Hills Blvd
Columbus, OH 43231-2948

Phone

(614) 260-1513

NPI assigned

May 1, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: nzota.mongwo.p1@direct.iamboundless.nextgenshare.com

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

{
    "created_epoch": "1714521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1497502256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 E DUBLIN GRANVILLE RD",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853192",
            "telephone_number": "614-844-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5867 FOREST HILLS BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432312948",
            "telephone_number": "614-260-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONGWO",
        "first_name": "NZOTA",
        "middle_name": "DILAN",
        "name_suffix": "Jr.",
        "credential": "NURSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-01",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monfredi Family Dental LLC
• Natasha Monga, M.D.
• Ridhima Monga, MD
• Alexa Mongelluzzo
• Rolanda Lloyd Monger
• Nassir Hassan Monim Mansour, MD
• Brian C Monk, DO
• J. Paul Monk III, MD
• Kara Monnin, PH.D.
• Stephanie Bailey Monnin, APN

• Behavior Technician in Columbus, OH
• Providers in Columbus, OH by specialty
• Behavior Technician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.