Carmel Angely Mondestin, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

25MA11574100 Issued in NJ

Practice address

259 1St St
Mineola, NY 11501-3957

Phone

(516) 663-8443

Fax

(516) 663-8955

NPI assigned

May 20, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Angely Mondestin Other name

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Capital Health Multispecialty Group

  • Surgery Physician
  • Trenton, NJ
  • NPI 1083072342
  Medicare reassignment NPD

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1962069567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 TIMBER KNOLL DR",
            "city": "WASHINGTON CROSSING",
            "state": "PA",
            "postal_code": "189771000",
            "telephone_number": "267-221-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 1ST ST",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013957",
            "telephone_number": "516-663-8443",
            "fax_number": "516-663-8955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDESTIN",
        "first_name": "CARMEL",
        "middle_name": "ANGELY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA11574100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELY",
            "last_name": "MONDESTIN",
            "prefix": "MISS",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Laura Molho
• Pauline Molloy, RPAC
• Jennifer Lyn Moncada, CRNA
• Khadean Georgia Moncrieffe, MD
• Susmita Mondal, AGNP-C
• Joann Montecalvo, P.A.
• Montefiore Medical Center
• Berrin Monteleone, MD
• Frank Antonio Monteleone, M.D.
• Grace Monteleone, P.A.

• Pediatrics Physician in Mineola, NY
• Providers in Mineola, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.