Active NPI
Monique Lugo
- Pediatric Nurse Practitioner
- Yonkers, NY
National Provider Identifier
1265149884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- F383476-01
- Practice address
- 35 E Grassy Sprain Rd Ste 102
Yonkers, NY 10710-4612 - Phone
- (914) 310-2800
- NPI assigned
- Nov 2, 2022
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | F383476-01 | NY | Primary |
Addresses
Primary practice location
35 E Grassy Sprain Rd Ste 102
Yonkers, NY 10710-4612
Mailing address
8 Tioga Ave
Yonkers, NY 10704-2012
Phone (914) 310-2800
Other practice location 1
8 Tioga Ave
Yonkers, NY 10704-2012
Phone (914) 310-2800
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F383476-01 | NY | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Medical World PC | Past | Accepting new patients |
Interoperability endpoints
- monique.lugo.1@12952.direct.athenahealth.com
- https://api.platform.athenahealth.com/12952/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Yonkers, NY
- NPI 1952615528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1265149884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 TIOGA AVE",
"city": "YONKERS",
"state": "NY",
"postal_code": "107042012",
"telephone_number": "914-310-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 E GRASSY SPRAIN RD STE 102",
"city": "YONKERS",
"state": "NY",
"postal_code": "107104612",
"telephone_number": "914-310-2800"
}
],
"practiceLocations": [
{
"address_1": "8 Tioga Ave",
"address_purpose": "LOCATION",
"city": "Yonkers",
"state": "NY",
"postal_code": "107042012",
"country_code": "US",
"telephone_number": "914-310-2800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUGO",
"first_name": "MONIQUE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-02",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NY",
"license": "F383476-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.