Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Russell Joseph Mongiovi, DPM

Individual provider Sports Medicine Podiatrist · NPI 1104852136

Dr. Russell Joseph Mongiovi, DPM is a Podiatry in Malta, New York. Graduated from Kent State University College of Podiatric Medicine in 1990, 36 years ago. Practices with Spa Podiatry, PC, a 2-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
36
Trained at
Kent State University College of Podiatric Medicine
Licensed in
NY
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Practice location Address checks out

3 Hemphill Pl
Malta, NY 12020-4419
Phone: (518) 899-3338
Fax: (518) 899-5025
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine Podiatrist (primary) Taxonomy 213ES0000X · Licence N004782 (NY)

Record details

NPI number1104852136
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedJune 23, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolKENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduated 1990 (36 years in practice)
Group practice Spa Podiatry, Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount