Individual provider Active NPI

Monifa Inez Hodge-Marshall, MS. SPED

  • Specialist
  • Bronx, NY
National Provider Identifier
1285996223
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
795870 Issued in NY
Practice address
100 Benchley Place
Apt 6J, BLDG. 25
Bronx, NY 10475
Phone
(917) 714-4363
NPI assigned
Jun 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 795870 NY Primary

Addresses

Primary practice location

100 Benchley Place
Apt 6J, BLDG. 25
Bronx, NY 10475

Mailing address

100 Benchley PL
Apt 6J, BLDG. 25
Bronx, NY 10475-3302
Phone (917) 714-4363

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

State licenses

LicenseStateTypeSpecialty
795870NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1285996223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BENCHLEY PL",
            "address_2": "APT 6J, BLDG. 25",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104753302",
            "telephone_number": "917-714-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BENCHLEY PLACE",
            "address_2": "APT 6J, BLDG. 25",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10475",
            "telephone_number": "917-714-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE-MARSHALL",
        "first_name": "MONIFA",
        "middle_name": "INEZ",
        "name_prefix": "Mrs.",
        "credential": "MS. SPED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "795870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.