Esopus Medical, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

52862 Issued in NY

Legal business name

ESOPUS MEDICAL, PC

Practice address

105 Woodcrest Dr
Rifton, NY 12471-7200

Phone

(845) 658-7763

NPI assigned

Feb 24, 2006

Last updated

Oct 10, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Monika R.a. Mommsen, MDNPI 1376519926

Title

President

Phone

(845) 658-7763

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY, TN2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Monika R. a. Mommsen, MD

  • Family Medicine Physician
  • Rifton, NY
  • NPI 1376519926
  Medicare reassignment Care Compare group NPD Authorized official
• Jacob Heinz Hofer, MD

  • Family Medicine Physician
  • Walden, NY
  • NPI 1336306497
  Medicare reassignment Care Compare group NPD
• Amelia Lisa Maas, M.B. B.S.

  • Family Medicine Physician
  • Esopus, NY
  • NPI 1316205420
  Medicare reassignment Care Compare group NPD
• Anneke S. Maendel, MD

  • Family Medicine Physician
  • Walden, NY
  • NPI 1841277647
  Medicare reassignment Care Compare group NPD
• Christopher Michael Maendel, MD

  • Family Medicine Physician
  • Ulster Park, NY
  • NPI 1447228002
  Medicare reassignment Care Compare group NPD
• Zoe Louisa Meier

  • Physician Assistant
  • Ulster Park, NY
  • NPI 1114786381
  Medicare reassignment Care Compare group NPD
• Sara J Thomson, CNM

  • Advanced Practice Midwife
  • Elka Park, NY
  • NPI 1518944321
  Medicare reassignment Care Compare group NPD
• Jonathan Landis Zimmerman, MD

  • Family Medicine Physician
  • Esopus, NY
  • NPI 1841266475
  Medicare reassignment Care Compare group NPD
• Christa M Ebong, RPA-C

  • Physician Assistant
  • Rifton, NY
  • NPI 1124095401
  Medicare reassignment Care Compare group
• Marilyn Koppschall

  • Physician Assistant
  • Rifton, NY
  • NPI 1013614239
  Medicare reassignment Care Compare group
• Nathan H Maendel, RPAC

  • Physician Assistant
  • Ulster Park, NY
  • NPI 1760459036
  Medicare reassignment Care Compare group
• Milton J Oconnell, RPA-C

  • Physician Assistant
  • Elka Park, NY
  • NPI 1851368138
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1295701787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HELLBROOK LN",
            "city": "ULSTER PARK",
            "state": "NY",
            "postal_code": "124875209",
            "telephone_number": "845-658-7763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WOODCREST DR",
            "city": "RIFTON",
            "state": "NY",
            "postal_code": "124717200",
            "telephone_number": "845-658-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESOPUS MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "MOMMSEN",
        "authorized_official_first_name": "MONIKA",
        "authorized_official_middle_name": "R.A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-658-7763",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "52862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02533053",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johann Heinrich Arnold, RPA-C
• Leila Audinot
• Christa M Ebong, RPA-C
• Esopus Dental, PC
• Celina Goodwin, RN
• Maria N Huleatt, DDS
• Katherine Joy Keiderling, COTA/L
• Marilyn Koppschall
• Alison Ann Maendel, RN

• Family Medicine Physician in Rifton, NY
• Providers in Rifton, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.