Monte Ezratty, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

146894 Issued in NY

Practice address

1545 Unionport Rd
Park South Medical
Bronx, NY 10462-7714

Phone

(718) 892-2201

Fax

(718) 828-9663

NPI assigned

May 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

Specialty

Internal Medicine

Education

Medical College of Ohio, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Park South Medical PLLCGroup PAC ID 6608967898, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Park South Medical PLLC

  • Internal Medicine Physician
  • Bronx, NY
  • NPI 1427252626
  Medicare reassignment Care Compare group NPD Authorized official
• Catherine Nhung Lee DPM, P.C.

  • Durable Medical Equipment & Medical Supplies
  • Bronx, NY
  • NPI 1154702884
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199318400000",
    "number": "1427009331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 UNIONPORT RD",
            "address_2": "PARK SOUTH MEDICAL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104627714",
            "telephone_number": "718-892-2201",
            "fax_number": "718-828-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 UNIONPORT RD",
            "address_2": "PARK SOUTH MEDICAL",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104627714",
            "telephone_number": "718-892-2201",
            "fax_number": "718-828-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EZRATTY",
        "first_name": "MONTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2008-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "146894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "88D011",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00977459",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Otitochukwu Ezeonu, MD
• Pascal Ebuka Ezerioha, M.D.
• Vitus C. Ezerioha
• Preetham Ezhilarasu
• Patrick C Ezinwa, RPH
• Anthony Ezugwu
• Imaan Ezzat
• F & M Pharmaceutical Corp.
• F & N Pharmacy Inc
• F Themistocle MD PC

• Internal Medicine Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.
• 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.