Individual provider Active NPI

Stevengrower Gerald Monk, CASE MANAGEMENT

  • Case Manager/Care Coordinator
  • Oakland Park, FL
National Provider Identifier
1265974323
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
450 E Prospect Rd
Oakland Park, FL 33334-1423
Phone
(954) 530-9581
NPI assigned
Nov 7, 2016
Last updated
Nov 18, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

450 E Prospect Rd
Oakland Park, FL 33334-1423

Mailing address

1239 NE 12TH Ave Apt 2
Fort Lauderdale, FL 33304-2209
Phone (954) 599-6800

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

NPI Registry JSON

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1265974323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 NE 12TH AVE APT 2",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042209",
            "telephone_number": "954-599-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E PROSPECT RD",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333341423",
            "telephone_number": "954-530-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONK",
        "first_name": "STEVENGROWER",
        "middle_name": "GERALD",
        "name_prefix": "Mr.",
        "credential": "CASE MANAGEMENT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-07",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.