Individual provider Active NPI

Monique Johnson, MBA MS RD CDE

  • Registered Dietitian
  • Brooklyn, NY
National Provider Identifier
1043600307
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
920306 Issued in NY
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

Updated by the provider on Feb 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
920306NYMDRegistered Dietitian
008338NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Center Inc PastSince Jun 25, 2023 Accepting new patients
Family Center Inc PastSince Jun 16, 2014 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.

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.

Verify at the official NPI Registry.