Individual provider Active NPI

Monika Freeland, M.D.

  • Internal Medicine Physician
  • Vestal, NY
National Provider Identifier
1275089898
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
299688 Issued in NY
Practice address
3101 Shippers Rd Ste 202
Vestal, NY 13850-2082
Phone
(607) 754-5342
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 299688 NY Primary

Addresses

Primary practice location

3101 Shippers Rd Ste 202
Vestal, NY 13850-2082

Mailing address

1047 Schuyler St
Endicott, NY 13760-1251
Phone (419) 266-5329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190808001307 NY Practitioner - Internal Medicine 5799061230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

169 Riveride Dr
Binghamton, NY 13905-4246

276 -280 Robinson St
Binghamton, NY 13904-1659
Phone (607) 722-2769

501 Reynolds Rd
Johnson City, NY 13790-1311
Phone (607) 798-5510

515 Reynolds Rd
Johnson City, NY 13790-1311
Phone (607) 786-4822

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of Lourdes Memorial Hospital, Inc. Internal Medicine Current Accepting new patients
Twin Tier Pathology Associates, PC Current Accepting new patients
Our Lady of Lourdes Memorial Hospital Inc. CurrentSince Aug 21, 2019 Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. CurrentSince Aug 21, 2019 Accepting new patients

Locations

169 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6701

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

501 Reynolds Rd
Johnson City, NY 13790
Phone (607) 797-6071

3101 Shippers Rd
Vestal, NY 13850
Phone (607) 250-2180

3101 Shippers Rd
Ste 202
Vestal, NY 13850
Phone (607) 584-9488

Interoperability endpoints

  • Direct secure messaging: mfreeland196847@direct-guthrie.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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1275089898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1047 SCHUYLER ST",
            "city": "ENDICOTT",
            "state": "NY",
            "postal_code": "137601251",
            "telephone_number": "419-266-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 SHIPPERS RD STE 202",
            "city": "VESTAL",
            "state": "NY",
            "postal_code": "138502082",
            "telephone_number": "607-754-5342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREELAND",
        "first_name": "MONIKA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2021-08-18",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "299688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestal, NY

Sources for this page

Verify at the official NPI Registry.