Active NPI
Kathleen Pentimone, M
- Foster Care Agency
- Monsey, NY
National Provider Identifier
1174883573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foster Care Agency
- License
- 404786-1
- Practice address
- 25 Margetts Rd
Monsey, NY 10952 - Phone
- (845) 577-6193
- Fax
- (845) 426-1289
- NPI assigned
- May 21, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foster Care Agency | 253J00000X | 404786-1 | NY | Primary |
Addresses
Primary practice location
25 Margetts Rd
Monsey, NY 10952
Mailing address
105 S. Madison Ave
Spring Valley, NY 10977
Phone (845) 577-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 404786-1 | NY | MD | Foster Care Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337558400000",
"number": "1174883573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 S. MADISON AVE",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "10977",
"telephone_number": "845-577-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 MARGETTS RD",
"city": "MONSEY",
"state": "NY",
"postal_code": "10952",
"telephone_number": "845-577-6193",
"fax_number": "845-426-1289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENTIMONE",
"first_name": "KATHLEEN",
"name_prefix": "Mrs.",
"credential": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-21",
"last_updated": "2012-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "253J00000X",
"taxonomy_group": "",
"desc": "Foster Care Agency",
"state": "NY",
"license": "404786-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monsey, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.