Matthew J Mongiello, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01508600 Issued in NJ

Practice address

171 Lake St
Ramsey, NJ 07446-2089

Phone

(201) 327-1990

Fax

(201) 327-1921

NPI assigned

Sep 5, 2013

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

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Jersey Spine Group LLCGroup PAC ID 5597859884, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GBIDAD

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

• North Jersey Spine Group LLC

  • Neurological Surgery Physician
  • Wayne, NJ
  • NPI 1841375300
  Medicare reassignment Care Compare group NPD
• Cornerstone Medical Procedures LLC

  • Medical Specialty Clinic/Center
  • Riverdale, NJ
  • NPI 1205509460
  NPD
• Damon Physical Therapy

  • Physical Therapy Clinic/Center
  • Lafayette, NJ
  • NPI 1598386245

  Physical Therapist

  NPD (past)
• Mile High Physical Therapy Professional Corporation

  • Physical Therapist
  • Pine Brook, NJ
  • NPI 1730665662
  NPD (past)

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418256000000",
    "number": "1639504046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 LAKE ST",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074462089",
            "telephone_number": "201-327-1990",
            "fax_number": "201-327-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 LAKE ST",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074462089",
            "telephone_number": "201-327-1990",
            "fax_number": "201-327-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONGIELLO",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-05",
        "last_updated": "2014-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01508600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indu Mirchandani, M.D.
• Carolyn M Mitchell, PT
• MJK Medical LLC
• Michelle Molina, MD
• Monarch Anesthesia Partners
• Carolyn Montini, M.S.
• Kelly Moorhouse, MA, LPC
• Jeanne Marie Moriarty, D.M.D.
• Geraldine Moss
• Mountainside - Ramsey

• Physical Therapist in Ramsey, NJ
• Providers in Ramsey, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.