Monika Rosemary Pek, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD237826 Issued in NY

Practice address

277 Northern Blvd Ste 314
Great Neck, NY 11021-4703

Phone

(516) 829-6646

Fax

(516) 829-0859

NPI assigned

Apr 18, 2006

Last updated

May 6, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

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.

• Oda Primary Health Care Network, Inc.

  • Primary Care Clinic/Center
  • Brooklyn, NY
  • NPI 1720177066
  NPD (past)

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1316902042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 SKI BLUFF TER",
            "city": "LAKE ARIEL",
            "state": "PA",
            "postal_code": "184368123",
            "telephone_number": "570-795-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 NORTHERN BLVD STE 314",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214703",
            "telephone_number": "516-829-6646",
            "fax_number": "516-829-0859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Park St",
            "address_2": "suite 2",
            "address_purpose": "LOCATION",
            "city": "Honesdale",
            "state": "PA",
            "postal_code": "184311445",
            "country_code": "US",
            "telephone_number": "570-251-6672",
            "fax_number": "570-251-6668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEK",
        "first_name": "MONIKA",
        "middle_name": "ROSEMARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "MD237826",
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "PA",
            "license": "MD428753",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY MEDICAL LICENSE",
            "identifier": "MD",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA MEDICAL LICENSE",
            "identifier": "MD",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatric Dentistry Community Drive Great Neck PC
• Pediatric Occupational Therapy of Ny, PC
• Pediatric Ophthalmology of Greater Ny, PC
• Consuelo Pedro
• Henry Pek, M.D.
• Vannisa Pelage
• Nicole Pelan, FNP
• David Pelcovitz, PHD
• Regina M. Pemberton, L.CSW
• Carmine Pena, DDS

• Pediatrics Physician in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.