Organization Active NPI

Mohawk Monty

  • Voluntary or Charitable Agency
  • Amsterdam, NY
National Provider Identifier
1144687716
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
MOHAWK MONTY
Practice address
10 Church Street #365
Amsterdam, NY 12010-0365
Phone
(518) 842-2990
NPI assigned
Jan 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Authorized official

Name
Mr. Andie J Zajaceskowski
Title
Chairman/Director
Phone
(518) 842-6701

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

10 Church Street #365
Amsterdam, NY 12010-0365

Mailing address

PO Box 365
Amsterdam, NY 12010-0365
Phone (518) 842-2990

National Provider Directory

National Provider Directory

Locations

10 Church St
Unit 365
Amsterdam, NY 12010
Phone (518) 842-2990

NPI Registry JSON

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1144687716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 365",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120100365",
            "telephone_number": "518-842-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CHURCH STREET #365",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120100365",
            "telephone_number": "518-842-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAWK MONTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "ZAJACESKOWSKI",
        "authorized_official_first_name": "ANDIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHAIRMAN/DIRECTOR",
        "authorized_official_telephone_number": "518-842-6701",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amsterdam, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.