Individual provider Active NPI

Monica Maria Tabares Urrego, RVT

  • Sonography Radiologic Technologist
  • Succasunna, NJ
National Provider Identifier
1306664206
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sonography Radiologic TechnologistTaxonomy code 2471S1302X
License
211620 Issued in NJ
Practice address
225 Route 10 E
Succasunna, NJ 07876-1300
Phone
(845) 248-9398
NPI assigned
Sep 30, 2024
Last updated
Sep 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sonography Radiologic Technologist 2471S1302X 211620 NJ Primary

Addresses

Primary practice location

225 Route 10 E
Succasunna, NJ 07876-1300

Mailing address

74 Grandview Dr
North Haledon, NJ 07508-2731
Phone (845) 248-9398

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
211620NJMDSonography Radiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthwave Ultrasound LLC CurrentSince Nov 17, 2024 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1306664206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 GRANDVIEW DR",
            "city": "NORTH HALEDON",
            "state": "NJ",
            "postal_code": "075082731",
            "telephone_number": "845-248-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 ROUTE 10 E",
            "city": "SUCCASUNNA",
            "state": "NJ",
            "postal_code": "078761300",
            "telephone_number": "845-248-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABARES URREGO",
        "first_name": "MONICA",
        "middle_name": "MARIA",
        "credential": "RVT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "NJ",
            "license": "211620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Succasunna, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.