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

MS. Mylene Manongsong Jumalon, FNP

Individual provider Family Nurse Practitioner · NPI 1871897884

MS. Mylene Manongsong Jumalon, FNP is a Nurse Practitioner in East Syracuse, New York. Qualified in 2009, 17 years ago. Practices with Adirondack Interventional Physiatry PC, a 7-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
17
Licensed in
NY
In the registry since
2011
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

6620 Fly Rd Ste 100
East Syracuse, NY 13057-4281
Phone: (315) 464-4472
Fax: (315) 464-5222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F336192-1 (NY)

Record details

NPI number1871897884
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJanuary 5, 2011
Last updated in NPPESJuly 2, 2024
Certification dateJuly 2, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Adirondack Interventional Physiatry Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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