Active NPI
Michele H Mokrzycki, MD, MS
- Nephrology Physician
- Bronx, NY
National Provider Identifier
1215048822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 189085
- Practice address
- 111 E 210TH St
Montefiore Medical Center
Bronx, NY 10467-2401 - Phone
- (718) 920-5442
- Fax
- (718) 652-8384
- NPI assigned
- Aug 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 189085 | NY | Primary |
Addresses
Primary practice location
111 E 210TH St
Montefiore Medical Center
Bronx, NY 10467-2401
Mailing address
510 E 80TH St
Apt 11D
New York, NY 10075-0719
Phone (212) 423-0239
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01399742 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| Montefiore Medical Center | Nephrology | Current | Accepting new patients |
| Montefiore Mount Vernon Hospital | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
1825 Eastchester Rd
Bronx, NY 10461
Phone (718) 904-2000
111 E 210th St
#9
Bronx, NY 10467
Phone (718) 920-5442
3411 Wayne Ave
Ste 5H
Bronx, NY 10467
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.
-
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- General Acute Care Hospital
- Mount Vernon, NY
- NPI 1013345065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323820800000",
"number": "1215048822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 E 80TH ST",
"address_2": "APT 11D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100750719",
"telephone_number": "212-423-0239",
"fax_number": "718-652-8384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E 210TH ST",
"address_2": "MONTEFIORE MEDICAL CENTER",
"city": "BRONX",
"state": "NY",
"postal_code": "104672401",
"telephone_number": "718-920-5442",
"fax_number": "718-652-8384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOKRZYCKI",
"first_name": "MICHELE",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2011-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "189085",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01399742",
"state": "NY"
}
],
"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 Dec 14, 2011; 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.