Grace Mogaka

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

25MA11637200 Issued in NJ

Practice address

5549 Bridle Rd
Stroudsburg, PA 18360-9197

Phone

(201) 344-8780

NPI assigned

Jan 13, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Associates of Montclair LLCGroup PAC ID 0244522241, 24 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HBFIAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emergency Associates of Montclair LLC

  • Emergency Medicine Physician
  • Montclair, NJ
  • NPI 1598112146

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Emergency Physician Associates of North Jersey P C

  • Emergency Medicine Physician
  • Summit, NJ
  • NPI 1497783419

  Single Specialty

  Medicare reassignment NPD
• Newark Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Newark, NJ
  • NPI 1740345693

  Single Specialty

  Medicare reassignment NPD
• Stadium Emergency Associates

  • Emergency Medical Services (Emergency Medicine) Physician
  • Secaucus, NJ
  • NPI 1205293693

  Single Specialty

  Medicare reassignment NPD
• Newark Community Health Centers, Inc

  dba Ironbound Medical & Dental Center

  • Federally Qualified Health Center (FQHC)
  • Newark, NJ
  • NPI 1366993586
  NPD

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1043961873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5549 BRIDLE RD",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183609197",
            "telephone_number": "201-344-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5549 BRIDLE RD",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183609197",
            "telephone_number": "201-344-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGAKA",
        "first_name": "GRACE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP024892",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "25MA11637200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makayla Lee Miller
• Melissa Marie Miller, M.S. CCC-SLP
• Vicki Hoyler Miller, CRNP
• Marie Jillian Millien-Webster
• MMD Counseling Services LLC
• Mary Louise Monk, MSW, LCSW
• Monroe County Children & Youth Serv
• Monroe County Counseling Services, LLC
• Monroe County Meals on Wheels, Inc.
• Monroe Family Practice Associates

• Nurse Practitioner in Stroudsburg, PA
• Providers in Stroudsburg, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.