Montefiore Medical Center

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MONTEFIORE MEDICAL CENTER

Practice address

96-14B Metropolitan Ave Ste 1
Forest Hills, NY 11375-6625

Phone

(718) 424-9531

Fax

(718) 424-2695

NPI assigned

Sep 28, 2021

Organization subpart

No

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

Authorized official

Name

Michael G Dowling

Title

VP

Phone

(914) 377-4668

Specialties & licenses 2

Addresses

Other names 1

• Montefiore Metropolitan Avenue Other name

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1275204364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CORPORATE DR STE 100",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107016807",
            "telephone_number": "914-377-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96-14B METROPOLITAN AVE STE 1",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113756625",
            "telephone_number": "718-424-9531",
            "fax_number": "718-424-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEFIORE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "DOWLING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "914-377-4668"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montefiore Metropolitan Avenue",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Montefiore Metropolitan Avenue",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Eftar Moniruzzaman, MHC-LP
• Ischellie Learthur Ona Monplaisir
• Cheryl A Monroe, LMSW
• Melissa M Monsalve
• Brittany Montauban
• Montefiore Medical Center
• Annette Montesdeoca, LCSW
• Jennifer Montesdeoca
• Melissa Montiel
• Ji Soo Moon, AG-ACNP

• Physical Therapist in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.

Verify at the official NPI Registry.