Active NPI
Monalisa Ghose, M.D.
- Family Medicine Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD484522
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 296600 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa PC | Family Medicine | Current | Accepting new patients |
| Osh - PA Physicians Group, PC | Family Medicine | Current | Accepting new patients |
| Griffin Myers Medical, P.C. | Family Medicine | Current | 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.
-
- Primary Care Clinic/Center
- Philadelphia, PA
- NPI 1811405533
Family Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.