DAVID LAWRENCE MINGOLELLI PA NPI 1619040391

NPI Information

NPI: 1619040391
Provider Name: DAVID LAWRENCE MINGOLELLI, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
80 SEYMOUR STREET
HARTFORD HOSPITAL EMERGENCY MEDICINE
HARTFORD, CT
ZIP 06102
Phone: (860) 545-0000
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David Lawrence Mingolelli, PA is a medical physician assistant in Hartford, CT with 18 years of experience. David Lawrence Mingolelli, PA NPI is 1619040391. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

80 SEYMOUR STREET
HARTFORD HOSPITAL EMERGENCY MEDICINE
HARTFORD, CT
ZIP 06102-037
Phone: (860) 545-0000

The NPI 1619040391 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/17/2006 and was last updated on 12/20/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		002987	CONNECTICUT	No
2	363AM0700X	Physician Assistant	Medical	C0003439	MARYLAND	No
3	363AS0400X	Physician Assistant	Surgical	002987	CONNECTICUT	No
4	363AM0700X	Physician Assistant	Medical	002987	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	P985	MEDICARE PIN	MARYLAND
2	003029873	MEDICAID	CONNECTICUT
3	142073Y1Z	MEDICARE PIN	MARYLAND
4	P00691478	MEDICARE PIN	MARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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