Individual provider Active NPI

Milind Mondkar, MD

  • Cytopathology Physician
  • Dix Hills, NY
National Provider Identifier
1679774640
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cytopathology PhysicianTaxonomy code 207ZC0500X
License
138159 Issued in NY
Practice address
1085 Westminster Ave
Dix Hills, NY 11746-6340
Phone
(151) 699-1535
Fax
(631) 667-0674
NPI assigned
May 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X 138159 NY Primary

Addresses

Primary practice location

1085 Westminster Ave
Dix Hills, NY 11746-6340

Mailing address

1085 Westminster Ave
Dix Hills, NY 11746-6340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241009004202 MA Practitioner - Pathology 0840284238 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University Pathologists, LLC Cytopathology CurrentSince Oct 1, 2024 Accepting new patients
University Pathologists Diagnostics LLC PastSince Apr 20, 2021 Accepting new patients

Locations

363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052

67 Slades Ferry Ave
Ste 6720
Somerset, MA 02726
Phone (401) 921-0252

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679774640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 WESTMINSTER AVE",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 WESTMINSTER AVE",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466340",
            "telephone_number": "151-699-1535",
            "fax_number": "631-667-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDKAR",
        "first_name": "MILIND",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "NY",
            "license": "138159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dix Hills, NY

Sources for this page

Verify at the official NPI Registry.