Individual provider Active NPI

Francisco Javier Monreal, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Syracuse, NY
National Provider Identifier
1265467328
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
118576 Issued in NY
Practice address
4413 S Salina St
Syracuse, NY 13205-2341
Phone
(315) 469-1148
Fax
(315) 492-9085
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 118576 NY Primary

Addresses

Primary practice location

4413 S Salina St
Syracuse, NY 13205-2341

Mailing address

4413 S Salina St
Syracuse, NY 13205-2341
Phone (315) 469-1148

Other identifiers 1

IdentifierTypeStateIssuer
00539946MedicaidNY

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
118576NYMDNeurology with Special Qualifications in Child Neurology Physician

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265467328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4413 S SALINA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052341",
            "telephone_number": "315-469-1148",
            "fax_number": "315-492-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4413 S SALINA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052341",
            "telephone_number": "315-469-1148",
            "fax_number": "315-492-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONREAL",
        "first_name": "FRANCISCO",
        "middle_name": "JAVIER",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NY",
            "license": "118576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00539946",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.