Individual provider Active NPI

Monique Rousseau, M.D.

  • Psychiatry Physician
  • Hewlett, NY
National Provider Identifier
1306974399
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
181831 Issued in NY
Practice address
1728 Broadway Ste 1
Hewlett, NY 11557-1630
Phone
(516) 596-9088
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 181831 NY Primary
Child & Adolescent Psychiatry Physician 2084P0804X 181831 NY

Addresses

Primary practice location

1728 Broadway Ste 1
Hewlett, NY 11557-1630

Mailing address

11510 237TH St
Elmont, NY 11003-3921
Phone (516) 285-3851

Other identifiers 1

IdentifierTypeStateIssuer
1590514MedicaidNY

Other names 1

  • Monique Joseph Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
FL Mental Care Corporation Psychiatry Past Accepting new patients
Mercy Medical Center Past Accepting new patients
Adc Psychological Services PLLC PastSince Jan 30, 2009 Accepting new patients
Vitreoretinal & Uveitis Services, PC Past Accepting new patients
Ewald J. Antoine MD PC Past Accepting new patients
United Cerebral Palsy Assoc of Nys Inc. Past Accepting new patients

Organizations & group practices 6

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457049600000",
    "number": "1306974399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11510 237TH ST",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110033921",
            "telephone_number": "516-285-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 BROADWAY STE 1",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571630",
            "telephone_number": "516-596-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSSEAU",
        "first_name": "MONIQUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2016-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "181831",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "181831",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1590514",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONIQUE",
            "last_name": "JOSEPH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hewlett, NY

Sources for this page

Verify at the official NPI Registry.