DR. NICHOLAS MONGILLO (M.D.) – Pediatric Adolescent Medicine Physician, NPI 1073536710

DR. NICHOLAS MONGILLO (M.D.) is a healthcare provider. based in Shelton, Connecticut. specializing in Pediatric Adolescent Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 030893 (CT). The NPI Number for DR. NICHOLAS MONGILLO (M.D.) is 1073536710

Main info

Male
Name
DR. NICHOLAS MONGILLO (M.D.)
NPI
1073536710
Phone
(203) 924-7334
Address
25 CONSTITUTION BLVD. SO
Enumeration Date
25 July 2006
Last Update Date
6 January 2017
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. NICHOLAS MONGILLO (M.D.)

  • 25 CONSTITUTION BLVD. SO

    SHELTON, CT 064844351

    Phone: (203) 924-7334

    Fax: (203) 922-0004

    Type: Location

  • 25, Constitution Boulevard South, Shelton, Fairfield County, Connecticut, 06484, United States

    SHELTON, CT 064844351

    Phone: (203) 924-7334

    Fax: (203) 922-0004

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 48 Open Payments records for all available years, with a total value of $888.

Total Amount is formed as General ($888) + Research ($0) + Ownership ($0) = $888.

Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Corium, LLC ($316).

Total Amount

$888

General + Research + Ownership

Payments

48

Total payment records

General Amount

$888

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-19

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-03-11

PECOS data refreshed: 2026-06-15

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06484)

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Reviews

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Frequently asked questions

What number should I use to identify DR. NICHOLAS MONGILLO (M.D.) for billing?
Administrative and clinical systems typically use NPI 1073536710 for DR. NICHOLAS MONGILLO (M.D.).
Is DR. NICHOLAS MONGILLO (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. NICHOLAS MONGILLO (M.D.) as active.
How should patients interpret DR. NICHOLAS MONGILLO (M.D.)'s specialty?
The extract shows Pediatric Adolescent Medicine Physician for DR. NICHOLAS MONGILLO (M.D.). Clinical services aligned with this taxonomy classification.
What city is tied to DR. NICHOLAS MONGILLO (M.D.)?
The directory associates DR. NICHOLAS MONGILLO (M.D.) with Shelton, Connecticut. Check all listed addresses for suites or satellite offices.
Can I export DR. NICHOLAS MONGILLO (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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