NPIMap

Organization Active NPI

Monarch Allergy Medical Services of New York PC

  • Allergy Physician
  • New York, NY
National Provider Identifier
1457052847
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
Legal business name
MONARCH ALLERGY MEDICAL SERVICES OF NEW YORK PC
Practice address
176 3Rd Ave
New York, NY 10003-2520
Phone
(888) 510-0905
NPI assigned
Mar 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Authorized official

Name
Dr. Shyam JoshiNPI 1114364247
Title
Ceo
Phone
(859) 248-1766

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X Primary

Addresses

Primary practice location

176 3Rd Ave
New York, NY 10003-2520

Mailing address

30 Cooper SQ FL 10
New York, NY 10003-7120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231214003390 NY Part B Supplier - Clinic/Group Practice 8820447931 Receives reassigned benefits from 13 practitioners
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

30 E 40th St
Rm 1200
New York, NY 10016
Phone (212) 319-5282

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1457052847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 COOPER SQ FL 10",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100037120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100032520",
            "telephone_number": "888-510-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONARCH ALLERGY MEDICAL SERVICES OF NEW YORK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "JOSHI",
        "authorized_official_first_name": "SHYAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "859-248-1766",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.