Monika R. a. Mommsen, MD
Individual provider Active NPI Family Medicine Physician · Rifton, NY
NPI 1376519926 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1376519926
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 129156 (NY)
- Practice address
- 105 Woodcrest Dr
Rifton, NY 12471-7200 - Phone
- (845) 658-7763
- NPI assigned
- Feb 24, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Albany Medical College of Union University, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Esopus Medical, PC
Practice addresses (Care Compare)
105 Woodcrest Dr
Rifton, NY 12471-7200
Phone (845) 658-7763
Hospital & facility affiliations
- Healthalliance Hospital Marys Avenue Campus
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040828000117 | NY | Practitioner - Family Practice | 7810960648 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Esopus Medical, PC | Family Medicine | Current |
Accepting new patients |
| Esopus Dental, PC | Current |
Accepting new patients |
Locations
2032 Route 213 St
Rifton, NY 12471
Phone (800) 571-8198
10 Hellbrook Ln
Ulster Park, NY 12487
Phone (845) 339-6680
10 Hellbrook Ln
Ofc
Ulster Park, NY 12487
Interoperability endpoints
- monika.mommsen@931273876307972.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 129156 | NY | Yes |
Addresses
Primary practice location
105 Woodcrest Dr
Rifton, NY 12471-7200
Mailing address
10 Hellbrook LN
Ulster Park, NY 12487-5209
Phone (845) 658-7763
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01062977 | Medicaid | NY | |
| 171044 | Other | NY | HMO |
| 5287 | Other | NY | PIN FOR NEWBORN SCREENING |
Other providers in Rifton, NY
- Celina Goodwin
- Maria N Huleatt
- Katherine Joy Keiderling
- Marilyn Koppschall
- Alison Ann Maendel
- Occupational Therapy of Rifton
- Florence M. J. Potts
- Patricia R Rice
- Rifton Equipment a Division of CP LLC
- Naomi Irene Sheghram
All providers in Rifton, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.