Individual provider Active NPI

Emily Beatty Monaco, PA-C

  • Physician Assistant
  • Saranac Lake, NY
National Provider Identifier
1255767752
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
023918 Issued in NY
Practice address
2249 State Route 86 Ste 3
Saranac Lake, NY 12983-5646
Phone
(518) 891-3845
Fax
(518) 891-1236
NPI assigned
Sep 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 023918 NY Primary

Addresses

Primary practice location

2249 State Route 86 Ste 3
Saranac Lake, NY 12983-5646

Mailing address

9 Carey Rd
Queensbury, NY 12804-7880
Phone (518) 761-0300

Other identifiers 1

IdentifierTypeStateIssuer
06150036MedicaidNY

Other names 1

  • Emily Beatty Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emily.monaco.1@1823.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131115001187 DC Practitioner - Physician Assistant 1052547312
I20200806000684 NY Practitioner - Physician Assistant 1052547312 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Alice Hyde Medical Center Physician Assistant CurrentSince Nov 13, 2024 Accepting new patients
Memn Hospitalists, LLC Past Accepting new patients
Alice Hyde Medical Center Past Accepting new patients

Locations

969 State Route 11
Moira, NY 12957
Phone (518) 529-7847

Interoperability endpoints

  • Direct secure messaging: emonaco603467@direct.uvmhealth.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1255767752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CAREY RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128047880",
            "telephone_number": "518-761-0300",
            "fax_number": "518-824-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2249 STATE ROUTE 86 STE 3",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129835646",
            "telephone_number": "518-891-3845",
            "fax_number": "518-891-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONACO",
        "first_name": "EMILY",
        "middle_name": "BEATTY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "023918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06150036",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emily.monaco.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2249 State Route 86 Ste 3",
            "city": "Saranac Lake",
            "state": "NY",
            "country_code": "US",
            "postal_code": "129835646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "BEATTY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saranac Lake, NY

Sources for this page

Verify at the official NPI Registry.