Individual provider Active NPI

Ralph M Lemongello, D.C.

  • Chiropractor
  • Wayne, NJ
National Provider Identifier
1659418242
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00245400 Issued in NJ
Practice address
1501 Hamburg Tpke
Ste 303
Wayne, NJ 07470-4032
Phone
(973) 696-0032
Fax
(973) 939-8488
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00245400 NJ Primary
Chiropractor 111N00000X X009679-1 NY

Addresses

Primary practice location

1501 Hamburg Tpke
Ste 303
Wayne, NJ 07470-4032

Mailing address

1501 Hamburg Tpke
Ste 303
Wayne, NJ 07470-4032
Phone (973) 696-0032

Other identifiers 2

IdentifierTypeStateIssuer
0105012000OtherNJAMERIHEALTH
P676747OtherNJOXFORD HEALTH PLANS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X009679-1NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185494400000",
    "number": "1659418242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 HAMBURG TPKE",
            "address_2": "STE 303",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074704032",
            "telephone_number": "973-696-0032",
            "fax_number": "973-939-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 HAMBURG TPKE",
            "address_2": "STE 303",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074704032",
            "telephone_number": "973-696-0032",
            "fax_number": "973-939-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMONGELLO",
        "first_name": "RALPH",
        "middle_name": "M",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00245400",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009679-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0105012000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P676747",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; 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.