Individual provider Active NPI

Monika Ewa Mlynarczyk, PT

  • Physical Therapist
  • Forest Hills, NY
National Provider Identifier
1255560892
Registry record updated Jul 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
21690 Issued in NY
Practice address
6120 Grand Central Pkwy Apt A707
Forest Hills, NY 11375-1276
Phone
(347) 738-4840
NPI assigned
Jul 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 21690 NY Primary

Addresses

Primary practice location

6120 Grand Central Pkwy Apt A707
Forest Hills, NY 11375-1276

Mailing address

6120 Grand Central Pkwy Apt A707
Forest Hills, NY 11375-1276
Phone (347) 738-4840

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

LicenseStateTypeSpecialty
21690NYMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1246579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246579200000",
    "number": "1255560892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 GRAND CENTRAL PKWY APT A707",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751276",
            "telephone_number": "347-738-4840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 GRAND CENTRAL PKWY APT A707",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751276",
            "telephone_number": "347-738-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MLYNARCZYK",
        "first_name": "MONIKA",
        "middle_name": "EWA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-03",
        "last_updated": "2009-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "21690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2009; 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.