Stephen J Mondics, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

000721-1 Issued in NY

Practice address

100 Port Washington Blvd
Roslyn, NY 11576-1347

Phone

(516) 562-6000

Fax

(516) 562-6797

NPI assigned

Aug 11, 2010

Last updated

Aug 11, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1700191095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 123RD ST",
            "city": "COLLEGE POINT",
            "state": "NY",
            "postal_code": "113561143",
            "telephone_number": "917-545-0385",
            "fax_number": "718-463-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PORT WASHINGTON BLVD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761347",
            "telephone_number": "516-562-6000",
            "fax_number": "516-562-6797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDICS",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-11",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "000721-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Miller, LCSW
• Joseph Minadeo, M.D.
• Lisa Mohabir
• Denise Ann Mokotoff, MS, RD, CDE
• Mark Mokotoff, P.A.
• Shella Kumar Mongia, MBBS, MD
• Fritzline Laura Montalmant, M.D.
• Janet Montante, P.A.
• Kaitlin Anne Monteith, PA-C
• Bernard Baldassare Monteleone, M.D.

• Medical Physician Assistant in Roslyn, NY
• Providers in Roslyn, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.