Organization Active NPI

Mondello, Feldman, and Mondello Dentistry

  • General Practice Dentistry
  • Great Neck, NY
National Provider Identifier
1942097647
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MONDELLO, FELDMAN, AND MONDELLO DENTISTRY
Practice address
29 Barstow Rd Ste 107
Great Neck, NY 11021-2209
Phone
(516) 441-5300
Fax
(516) 498-2391
NPI assigned
Apr 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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

Authorized official

Name
Ms. Jennifer Gallagher
Title
Office Managaer
Phone
(347) 888-8208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

29 Barstow Rd Ste 107
Great Neck, NY 11021-2209

Mailing address

29 Barstow Rd Ste 107
Great Neck, NY 11021-2209
Phone (516) 441-5300

Other practice location 1

945 Lexington Ave
New York, NY 10021-5107
Phone (212) 472-4500

Other identifiers 3

IdentifierTypeStateIssuer
1093915829OtherNYDENTIST
1700083920OtherNYDENTIST
1366718074OtherNYDENTIST

National Provider Directory

National Provider Directory

Locations

29 Barstow Rd
Ste 107
Great Neck, NY 11021
Phone (516) 487-4326

945 Lexington Ave
New York, NY 10021
Phone (212) 249-9212

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1942097647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 BARSTOW RD STE 107",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212209",
            "telephone_number": "516-441-5300",
            "fax_number": "516-498-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 BARSTOW RD STE 107",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212209",
            "telephone_number": "516-441-5300",
            "fax_number": "516-498-2391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "945 Lexington Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100215107",
            "country_code": "US",
            "telephone_number": "212-472-4500",
            "fax_number": "212-472-4503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MONDELLO, FELDMAN, AND MONDELLO DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGAER",
        "authorized_official_telephone_number": "347-888-8208",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1093915829",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1700083920",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1366718074",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.