MGF Enterprises PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

MGF ENTERPRISES PC

Practice address

250 Kennedy Blvd Ste 2
Pittston, PA 18640-1814

Phone

(570) 760-1901

NPI assigned

Aug 20, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Michael Campenni, DO

Title

President

Phone

(570) 760-1901

Specialties & licenses 2

Addresses

Other names 1

• Greater Pittston Urology Doing business as

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1578043592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 KENNEDY BLVD STE 2",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186401814",
            "telephone_number": "570-760-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 KENNEDY BLVD STE 2",
            "city": "PITTSTON",
            "state": "PA",
            "postal_code": "186401814",
            "telephone_number": "570-760-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGF ENTERPRISES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "CAMPENNI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-760-1901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PA",
            "license": "OS008694L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Pittston Urology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen McMynne
• Mary Pat Melvin, LSW
• Danielle Marie Menichelli, CRNP
• Rhyan Kievel Mercado, D.C.
• Ivy Lynn Meres, LPN
• Lori Marie Mikolosko
• Richard Mikolosko
• Holly Miller
• Paul Eugene Miller, RPH
• Shaquille Mitchell

• Urology Physician in Pittston, PA
• Providers in Pittston, PA by specialty
• Urology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.