Individual provider Active NPI

Monwara Hassan, M.D.

  • Specialist
  • Fort Pierce, FL
National Provider Identifier
1265451017
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
221851 Issued in NY
Practice address
2500 Rhode Island Ave
Suite a
Fort Pierce, FL 34947-4771
Phone
(772) 489-4001
Fax
(772) 489-8411
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 221851 NY Primary
Physical Medicine & Rehabilitation Physician 208100000X ME119146 FL

Addresses

Primary practice location

2500 Rhode Island Ave
Suite a
Fort Pierce, FL 34947-4771

Mailing address

2721 SE North Lookout Blvd
Port St Lucie, FL 34984-6108
Phone (914) 373-8198

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
221851NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
University Group Medical Associates, P.C Physical Medicine & Rehabilitation Past Accepting new patients
Sportspain & Spinal Rehab Inc. Physical Medicine & Rehabilitation PastSince Jun 2, 2010 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1265451017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 SE NORTH LOOKOUT BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349846108",
            "telephone_number": "914-373-8198",
            "fax_number": "772-489-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 RHODE ISLAND AVE",
            "address_2": "SUITE A",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474771",
            "telephone_number": "772-489-4001",
            "fax_number": "772-489-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASSAN",
        "first_name": "MONWARA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "221851",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME119146",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; 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.