Mark Edward Rongone, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS-026776 Issued in PA

Practice address

1109 N Market St
Berwick, PA 18603-2134

Phone

(570) 759-9384

Fax

(570) 759-9386

NPI assigned

Sep 7, 2005

Last updated

Jan 14, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mark E Rongone DDS LLC

  • Dental Clinic/Center
  • Berwick, PA
  • NPI 1518358951
  NPD (past) Authorized official

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1609860683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 N MARKET ST",
            "city": "BERWICK",
            "state": "PA",
            "postal_code": "186032134",
            "telephone_number": "570-759-9384",
            "fax_number": "570-759-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 N MARKET ST",
            "city": "BERWICK",
            "state": "PA",
            "postal_code": "186032134",
            "telephone_number": "570-759-9384",
            "fax_number": "570-759-9386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONGONE",
        "first_name": "MARK",
        "middle_name": "EDWARD",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-026776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Sue Rivenbark, CD
• Riverhealth L.L.C
• Mary Grace Rizzo, DMD
• Verona D Roberts, CRNP
• Robert A. Rodman, DC
• Chelsea Schwartz
• Melissa E. Sedor, PA-C
• Ramesh M. Shah, M.D.
• Jill Shepler
• Nancy Shukry, PA-C, M.S.P.A.S.

• General Practice Dentistry in Berwick, PA
• Providers in Berwick, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.

Verify at the official NPI Registry.