NPIMap

Individual provider Active NPI

Mona Pervil-Ulysse, M.D.

  • Rheumatology Physician
  • Brooklyn, NY
National Provider Identifier
1144215559
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
187762-1 Issued in NY
Practice address
182 8TH Ave
Brooklyn, NY 11215-2229
Phone
(718) 768-3383
Fax
(718) 768-2117
NPI assigned
Sep 13, 2005
Last updated
Feb 20, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 187762-1 NY Primary

Addresses

Primary practice location

182 8TH Ave
Brooklyn, NY 11215-2229

Mailing address

182 8TH Ave
Brooklyn, NY 11215-2229
Phone (718) 768-3383

Other identifiers 1

IdentifierTypeStateIssuer
01369906MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040610001595 NY Practitioner - RheumatologyPractitioner - Internal Medicine 9133102098 Reassigns benefits to 2 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Interfaith Professional Physician Services PCGroup PAC ID 9931378171, 383 clinicians

Practice addresses (Care Compare)

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
187762-1NYMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians of Brooklyn, Inc. Current Accepting new patients
Interfaith Emergency Medicine, P.C. Current Accepting new patients
Interfaith Professional Physician Services, P.C. CurrentSince Oct 1, 2015 Accepting new patients
University Physicians of Brooklyn, Inc. Rheumatology CurrentSince Mar 18, 2017 Accepting new patients
University Physicians of Brooklyn, Inc. CurrentSince Mar 18, 2017 Accepting new patients
CMC Radiological Services PC Past Accepting new patients

Locations

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603

450 Clarkson Ave
#80
Brooklyn, NY 11203
Phone (718) 613-8481

506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279

528 Prospect Pl
Brooklyn, NY 11238
Phone (718) 613-6800

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: monapervil-ulysse@sunydmc.allscriptsdirect.net
  • Direct secure messaging: mop9032@direct.nyp.org

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235088000000",
    "number": "1144215559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 8TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152229",
            "telephone_number": "718-768-3383",
            "fax_number": "718-768-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 8TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112152229",
            "telephone_number": "718-768-3383",
            "fax_number": "718-768-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERVIL-ULYSSE",
        "first_name": "MONA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2009-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "187762-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01369906",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.