Eliezer Monge, M.D., P.C.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

4301027308 Issued in MI

Legal business name

ELIEZER MONGE, M.D., P.C.

Practice address

23607 Farmington Rd
Farmington, MI 48336-3109

Phone

(248) 474-5215

Fax

(248) 474-7260

NPI assigned

Feb 10, 2010

Last updated

Jan 21, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Eliezer Monge, M.D.

Title

President/Physician

Phone

(248) 474-5215

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358726400000",
    "number": "1043542459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23607 FARMINGTON RD",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363109",
            "telephone_number": "248-474-5215",
            "fax_number": "248-474-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23607 FARMINGTON RD",
            "city": "FARMINGTON",
            "state": "MI",
            "postal_code": "483363109",
            "telephone_number": "248-474-5215",
            "fax_number": "248-474-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIEZER MONGE, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-10",
        "last_updated": "2013-01-21",
        "status": "A",
        "authorized_official_last_name": "MONGE",
        "authorized_official_first_name": "ELIEZER",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "248-474-5215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MI",
            "license": "4301027308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1047315",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Farmington, MI
• Providers in Farmington, MI by specialty
• Gastroenterology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.