Active NPI
Joan G. Mogil, N.P.
- Pulmonary Disease Physician
- Massapequa, NY
National Provider Identifier
1689612418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- F301934-1
- Practice address
- 643 Broadway
Massapequa, NY 11758-5032 - Phone
- (516) 798-1066
- Fax
- (516) 798-7351
- NPI assigned
- Jun 3, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | F301934-1 | NY | Primary |
Addresses
Primary practice location
643 Broadway
Massapequa, NY 11758-5032
Mailing address
643 Broadway
Massapequa, NY 11758-5032
Phone (516) 798-1066
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01759604 | Medicaid | NY |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 301934 | NY | MD | Licensed Practical Nurse |
| F301934-1 | NY | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHS Physician Partners, P.C | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Cardiovascular Disease Physician
- Roslyn, NY
- NPI 1164585725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1689612418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "643 BROADWAY",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117585032",
"telephone_number": "516-798-1066",
"fax_number": "516-798-7351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "643 BROADWAY",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117585032",
"telephone_number": "516-798-1066",
"fax_number": "516-798-7351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOGIL",
"first_name": "JOAN",
"middle_name": "G.",
"name_prefix": "Ms.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "F301934-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01759604",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.