Active NPI
Ralph M Lemongello, D.C.
- Chiropractor
- Wayne, NJ
National Provider Identifier
1659418242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00245400
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0105012000 | Other | NJ | AMERIHEALTH |
| P676747 | Other | NJ | OXFORD 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
| License | State | Type | Specialty |
|---|---|---|---|
| X009679-1 | NY | MD | Chiropractor |
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.