Individual provider Active NPI

Rosemarie Monzo, M.D.

  • Family Medicine Physician
  • Narberth, PA
National Provider Identifier
1306071311
Registry record updated May 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD422458 Issued in PA
Practice address
857 Montgomery Avenue
Main Line Medical Group
Narberth, PA 19072
Phone
(610) 664-2951
Fax
(610) 664-2131
NPI assigned
May 19, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD422458 PA Primary

Addresses

Primary practice location

857 Montgomery Avenue
Main Line Medical Group
Narberth, PA 19072

Mailing address

857 Montgomery Avenue
Main Line Medical Group
Narberth, PA 19072
Phone (610) 664-2951

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD422458PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Main Line Medical Group LTD Family Medicine PastSince Dec 1, 2016 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242691200000",
    "number": "1306071311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 MONTGOMERY AVENUE",
            "address_2": "MAIN LINE MEDICAL GROUP",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "19072",
            "telephone_number": "610-664-2951",
            "fax_number": "610-664-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 MONTGOMERY AVENUE",
            "address_2": "MAIN LINE MEDICAL GROUP",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "19072",
            "telephone_number": "610-664-2951",
            "fax_number": "610-664-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONZO",
        "first_name": "ROSEMARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-19",
        "last_updated": "2009-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD422458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Narberth, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2009; 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.