Organization Active NPI

Pediatric Arts of Monroe

  • Pediatrics Physician
  • Monroe, NY
National Provider Identifier
1396844973
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PEDIATRIC ARTS OF MONROE
Practice address
91 Lakes Rd
Monroe Medical Arts Building
Monroe, NY 10950-2613
Phone
(847) 782-8608
Fax
(845) 782-8516
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Authorized official

Name
Robert Markowitz, MD
Title
Physician
Phone
(845) 782-8608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

91 Lakes Rd
Monroe Medical Arts Building
Monroe, NY 10950-2613

Mailing address

91 Lakes Rd
Monroe Medical Arts Building
Monroe, NY 10950-2613
Phone (847) 782-8608

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0686119Pediatric Arts of Monroe - BCHP91 Lakes Road, Monroe, NY 10950Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1396844973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 LAKES RD",
            "address_2": "MONROE MEDICAL ARTS BUILDING",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109502613",
            "telephone_number": "847-782-8608",
            "fax_number": "845-782-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 LAKES RD",
            "address_2": "MONROE MEDICAL ARTS BUILDING",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109502613",
            "telephone_number": "847-782-8608",
            "fax_number": "845-782-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ARTS OF MONROE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "MARKOWITZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "845-782-8608",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.