Individual provider Active NPI

Monalisa Ghose, M.D.

  • Family Medicine Physician
  • Bronx, NY
National Provider Identifier
1093178717
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD484522 Issued in PA
Practice address
1894 Walton Ave
Bronx, NY 10453-6018
Phone
(718) 583-3060
Fax
(718) 583-3360
NPI assigned
Mar 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD484522 PA Primary
Family Medicine Physician 207Q00000X 296600 NY

Addresses

Primary practice location

1894 Walton Ave
Bronx, NY 10453-6018

Mailing address

PO Box 746722
Atlanta, GA 30374-6722
Phone (312) 733-9730

Other practice location 1

455 Sutter Ave
Brooklyn, NY 11212-8111
Phone (718) 765-6550

Other practice location 2

1055 Westlakes Dr Ste 3152
Berwyn, PA 19312-2410
Phone (215) 346-6050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191015003596 NY Practitioner - Family Practice 1254625106 Reassigns benefits to 1 organization
I20240604001160 PA Practitioner - Family Practice 1254625106 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
296600NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Family Medicine Current Accepting new patients
Osh - PA Physicians Group, PC Family Medicine CurrentSince Jan 6, 2025 Accepting new patients
Griffin Myers Medical, P.C. Family Medicine CurrentSince Jan 13, 2025 Accepting new patients

Locations

455 Sutter Ave
Brooklyn, NY 11212
Phone (718) 765-6550

11515 Sutphin Blvd
Jamaica, NY 11434
Phone (718) 659-4000

3621 Aramingo Ave
Philadelphia, PA 19134
Phone (312) 600-8484

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 3

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": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1093178717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746722",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746722",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1894 WALTON AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104536018",
            "telephone_number": "718-583-3060",
            "fax_number": "718-583-3360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 Sutter Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112128111",
            "country_code": "US",
            "telephone_number": "718-765-6550",
            "fax_number": "347-620-9739",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1055 Westlakes Dr Ste 3152",
            "address_purpose": "LOCATION",
            "city": "Berwyn",
            "state": "PA",
            "postal_code": "193122410",
            "country_code": "US",
            "telephone_number": "215-346-6050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHOSE",
        "first_name": "MONALISA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD484522",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "296600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.