DR. NICHOLAS MONGILLO M.D.
NPI 1073536710
Pediatrics - Adolescent Medicine in Shelton, CT

Q: What is Nicholas Mongillo's NPI number?

The NPI number for Nicholas Mongillo is 1073536710. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Q: What is Nicholas Mongillo's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Mongillo was last updated on January 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 25, 2006PECOS Enrolled

25 CONSTITUTION BLVD. SO, SHELTON, CT 06484(203) 924-7334(203) 922-0004 Get Directions Write a Review

NPPES record last updated: January 6, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Nicholas Mongillo M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NICHOLAS MONGILLO M.D. (NPI 1073536710) is an individual adolescent medicine provider in Shelton, Connecticut, licensed in Connecticut (030893) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073536710

Entity TypeIndividualMale

Primary Taxonomy2080A0000X

Provider Legal NameDR. NICHOLAS MONGILLOCredential: M.D.

Location Address25 CONSTITUTION BLVD. SOShelton, CT 06484-4351

Mailing Address25 Constitution Blvd SShelton, CT 06484-4351 · (203) 924-7334 · Fax (203) 922-0004

Phone(203) 924-7334

Fax(203) 922-0004

Sole ProprietorNo

Enumeration DateJuly 25, 2006

Last NPPES UpdateJanuary 6, 2017

✔ NPI 1073536710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

License✔ Licensed in CT · 030893

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

25 CONSTITUTION BLVD. SO, Shelton, CT 06484

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nicholas Mongillo M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims360 services$3.94 avg. paid by Medicare

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150

Other-Enteral and Parenteral · category OB006N

1 supplier12 claims3,195 services$0.29 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEDIATRIC CARE ASSOCIATES OF CONNECTICUT

Pediatrics (Adolescent Medicine)

25 CONSTITUTION BLVD. SO, PEDI-CARE
SHELTON, CT 06484

Naugatuck Valley Planning Region (203) 924-7334

DR. MELANIE GEORGALAS M.D.

Pediatrics (Adolescent Medicine)

25 CONSTITUTION BLVD. SO
SHELTON, CT 06484

Naugatuck Valley Planning Region (203) 924-7334

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Mongillo's NPI number?

The NPI number for Nicholas Mongillo is 1073536710. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Nicholas Mongillo located?

Nicholas Mongillo practices at 25 Constitution Blvd. So, Shelton, CT 06484. The listed phone number is (203) 924-7334.

What is Nicholas Mongillo's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Nicholas Mongillo enrolled in Medicare?

Yes. Nicholas Mongillo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicholas Mongillo was last updated on January 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.