DR. RUSSELL JOSEPH MONGIOVI (NPI# 1104852136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104852136 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL JOSEPH MONGIOVI |
| Credential | DPM |
| Practice Address |
3 Hemphill Pl Malta NY 12020-4419 |
| Mailing Address |
3 Hemphill Pl Malta NY 12020-4420 |
| Practice Telephone | 5188993338 |
| Practice Fax Number | 5188995025 |
| Mailing Telephone | 5188993338 |
| Mailing Fax Number | 5188995025 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
N004782 | NY | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922337674 | Russell Mongiovi | Licensed Practical Nurse | 98 Lou Ann Dr, Depew, NY 14043-1212 | 2009-12-09 |
| Street Address |
3 HEMPHILL PL |
| City | MALTA |
| State | NY |
| Zip Code | 12020-4419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710922554 | Joyce Marie Senick | Podiatrist | 3 Hemphill Pl, Malta, NY 12020-4419 | 2006-06-17 |
| 1831440957 | Agape' Eye Care Optometrist Pllc | Optometrist | 3 Hemphill Pl, Suite 114, Malta, NY 12020-4419 | 2012-09-28 |
| 1376865212 | Mary H Golden | Pharmacist | 3 Hemphill Pl, Suite 116, Malta, NY 12020-4419 | 2010-02-19 |
| 1477875573 | Robert Richard Russell II | Pharmacist | 3 Hemphill Pl, Suite 116, Malta, NY 12020-4419 | 2010-02-17 |
| 1306178983 | Bryan Hugh Williams | Pharmacist | 3 Hemphill Pl, Suite #116, Malta, NY 12020-4419 | 2010-02-05 |
| 1861633356 | Ellen Marie Williams | Pharmacist | 3 Hemphill Pl, Suite 116, Malta, NY 12020-4419 | 2009-03-13 |
| 1992833255 | Apple Community Pharmacy | Durable Medical Equipment & Medical Supplies | 3 Hemphill Pl, Suite 116, Malta, NY 12020-4419 | 2007-03-01 |
| 1679622492 | Kathleen M. Crowe | Optometrist | 3 Hemphill Pl, Suite 114, Malta, NY 12020-4419 | 2007-01-10 |
| 1770641748 | Thomas Francis Golden II | Pharmacist | 3 Hemphill Pl, Suite 116, Malta, NY 12020-4419 | 2006-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811529415 | Peter Joseph Valastro Jr. | Registered Nurse | 2452 Us Rt 9 Suite 206, Malta, NY 12020 | 2020-02-11 |
| 1083257224 | Martins Foods of South Burlington LLC | Durable Medical Equipment & Medical Supplies | 3 Via Rossi Way, Ballston Spa, NY 12020 | 2019-10-21 |
| 1528542255 | Mary Szacik | Social Worker | 2452 Us Rt. 9, Suite 206, Malta, NY 12020 | 2018-09-19 |
| 1669966867 | Adam Smatko | Social Worker | 2452 Us Route 9, Suite 206, Malta, NY 12020 | 2018-06-20 |
| 1538665104 | Tressa Frese | Counselor | 35 Bath Street, Ballston Spa, NY 12020 | 2018-04-03 |
| 1902312556 | Maltavista Optometry, Pllc | Optometrist | 2715 Rt 9, Suite 204, Malta, NY 12020 | 2017-12-19 |
| 1497207294 | Julie Lapham | Counselor | 100 Saratoga Village Blvd. Suite 26, Malta, NY 12020 | 2016-10-27 |
| 1932656527 | Matthew Kattell | Physical Therapist | 4102 Ellsworth Boulevard, Malta, NY 12020 | 2016-09-01 |
| 1295134740 | Nnenna Lindsay | Psychologist | 15 Trieble Avenue, Suite 5 Pmb 1013, Ballston Spa, NY 12020 | 2014-08-21 |
| 1023425956 | Jessica Duell | Registered Nurse | 603 Sweetman Road, Ballston Spa, NY 12020 | 2014-07-11 |
| Find all providers in zip 12020 | ||||
| Taxonomy Code | 213ES0000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Sports Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063763522 | Brian Dawson | Podiatrist | 74 Amsterdam Rd, Smithtown, NY 11787-3122 | 2012-09-25 |
| 1871813253 | James Dinapoli | Podiatrist | 257 Weeks Ave, Manorville, NY 11949-2041 | 2010-06-08 |
| 1871748897 | Mika Hayashi, D.p.m., P.C. | Podiatrist | 124 East 40th Street, Suite 501, New York, NY 10016 | 2008-11-18 |
| 1962503425 | Norbert Basil Kosinski | Podiatrist | 1354 Union St, Schenectady, NY 12308-3034 | 2006-09-26 |
| 1598773269 | Thomas Michael Novella | Podiatrist | 343 W 58th St, Suite 11, New York, NY 10019-1108 | 2006-08-04 |
| 1134194426 | Anie A Cherian D.p.m P.C. | Podiatrist | 1775 Richmond Ave, Staten Island, NY 10314-3907 | 2006-02-21 |
| 1730168667 | Peter J Riznyk | Podiatrist | 6272 W Quaker St, Orchard Park, NY 14127-2644 | 2006-01-10 |
| 1932102688 | Paul Barry Bernstein | Podiatrist | 4200 Sunrise Hwy, Massapequa, NY 11758-5303 | 2005-05-24 |
| 1811512361 | Shamy Bushra Fazal | Podiatrist | 210 E 86th St Rm 402, New York, NY 10028-7726 | 2020-06-10 |
| 1891241725 | Larchmont Podiatry Pllc | Podiatrist | 2365 Boston Post Rd, Suite 200, Larchmont, NY 10538-3500 | 2016-08-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.