Organization Active NPI

Nicole Solimine Mondrone

  • Community/Behavioral Health Agency
  • Commack, NY
National Provider Identifier
1801245071
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
000164-1 Issued in NY
Legal business name
NICOLE SOLIMINE MONDRONE
Practice address
92 Dovecote LN
Commack, NY 11725-2748
Phone
(631) 462-2465
NPI assigned
Jun 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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

Authorized official

Name
Nicole Mondrone
Title
Bcba
Phone
(516) 492-7066

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 000164-1 NY Primary
Early Intervention Provider Agency 252Y00000X 000164-1 NY

Addresses

Primary practice location

92 Dovecote LN
Commack, NY 11725-2748

Mailing address

92 Dovecote LN
Commack, NY 11725-2748
Phone (631) 462-2465

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465344000000",
    "number": "1801245071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 DOVECOTE LN",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252748",
            "telephone_number": "631-462-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 DOVECOTE LN",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117252748",
            "telephone_number": "631-462-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE SOLIMINE MONDRONE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-08",
        "last_updated": "2016-06-08",
        "status": "A",
        "authorized_official_last_name": "MONDRONE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "BCBA",
        "authorized_official_telephone_number": "516-492-7066"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "000164-1",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "000164-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.