Active NPI
Monique Johnson, MBA MS RD CDE
- Registered Dietitian
- Brooklyn, NY
National Provider Identifier
1043600307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 920306
- Practice address
- 493 Nostrand Ave FL 3
The Family Center
Brooklyn, NY 11216-2014 - Phone
- (718) 230-1379
- NPI assigned
- Jan 26, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 920306 | NY | Primary |
Addresses
Primary practice location
493 Nostrand Ave FL 3
The Family Center
Brooklyn, NY 11216-2014
Mailing address
493 Nostrand Ave FL 3
The Family Center
Brooklyn, NY 11216-2014
Phone (718) 230-1379
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 920306 | NY | MD | Registered Dietitian |
| 008338 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Center Inc | Past | Accepting new patients | |
| Family Center Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Brooklyn, NY
- NPI 1114603594
-
- Community/Behavioral Health Agency
- Brooklyn, NY
- NPI 1275963720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422921600000",
"number": "1043600307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "493 NOSTRAND AVE FL 3",
"address_2": "THE FAMILY CENTER",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112162014",
"telephone_number": "718-230-1379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "493 NOSTRAND AVE FL 3",
"address_2": "THE FAMILY CENTER",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112162014",
"telephone_number": "718-230-1379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MONIQUE",
"credential": "MBA MS RD CDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-26",
"last_updated": "2015-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "920306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.