Healthcare Provider Details

I. General information

NPI: 1922212737
Provider Name (Legal Business Name): JOSEPH M. BARGELLINI, M.D.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1551 KELLUM PL
MINEOLA NY
11501-4834
US

IV. Provider business mailing address

6 CAMEO LN
WESTBURY NY
11590-5720
US

V. Phone/Fax

Practice location:
  • Phone: 516-314-6676
  • Fax: 866-252-8175
Mailing address:
  • Phone: 516-338-5175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number227266
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number227266
License Number StateNY

VIII. Authorized Official

Name: DR. JOSEPH MCGOLDRICK BARGELLINI
Title or Position: OWNER
Credential: M.D.
Phone: 516-314-6676