Active NPI
Michael Salvatore Mennella
- Social Worker
- Mastic, NY
National Provider Identifier
1689549784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1235 Montauk Hwy
Mastic, NY 11950-2917 - Phone
- (631) 345-0083
- NPI assigned
- Oct 8, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
1235 Montauk Hwy
Mastic, NY 11950-2917
Mailing address
220 Gibbs Pond Rd
Nesconset, NY 11767-2256
Phone (631) 335-0760
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759881600000",
"number": "1689549784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 GIBBS POND RD",
"city": "NESCONSET",
"state": "NY",
"postal_code": "117672256",
"telephone_number": "631-335-0760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1235 MONTAUK HWY",
"city": "MASTIC",
"state": "NY",
"postal_code": "119502917",
"telephone_number": "631-345-0083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENNELLA",
"first_name": "MICHAEL",
"middle_name": "SALVATORE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-08",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mastic, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.