DR. RUSSELL JOSEPH MONGIOVI DPM NPI 1104852136

NPI Information

  • NPI: 1104852136
  • Provider Name: DR. RUSSELL JOSEPH MONGIOVI, DPM
  • Classification: Podiatrist - 213ES0000X
  • Specialization: Sports Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3 HEMPHILL PL
    MALTA, NY
    ZIP 12020
  • Phone: (518) 899-3338

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NPI Details

DR. Russell Joseph Mongiovi, DPM is a sports medicine podiatrist in Malta, NY with 36 years of experience. DR. Russell Joseph Mongiovi, DPM NPI is 1104852136. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduation Year:1990

The provider's business location address is:

3 HEMPHILL PL
MALTA, NY
ZIP 12020-419
Phone: (518) 899-3338
Fax: (518) 899-5025

The NPI 1104852136 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).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of fingernails or toenails, 1-5 nails (HCPCS:11720)
  • Trimming of fingernails or toenails (HCPCS:11719)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)

The enumeration date for this NPI number is 6/23/2006 and was last updated on 7/8/2007.

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
1213ES0000XPodiatristSports MedicineN004782NEW YORKYes

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 Other Provider Identifier Issuer
1U19121MEDICARE UPINNEW YORK
254658BMEDICARE ID-TYPE UNSPECIFIEDNEW YORK

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: 11/21/2025

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