Individual provider Active NPI

Gaylord B Monsanto

  • Specialist
  • Oceanside, NY
National Provider Identifier
1457816837
Registry record updated Feb 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
039451-1 Issued in NY
Practice address
15 Neil CT
Oceanside, NY 11572-5815
Phone
(516) 766-0505
Fax
(516) 766-0680
NPI assigned
Feb 9, 2019
Last updated
Feb 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 039451-1 NY Primary

Addresses

Primary practice location

15 Neil CT
Oceanside, NY 11572-5815

Mailing address

15 Neil CT
Oceanside, NY 11572-5815
Phone (516) 766-0505

Other practice location 1

309 W Park Ave
Long Beach, NY 11561-3241
Phone (516) 568-7858

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
039451-1NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1549670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549670400000",
    "number": "1457816837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 NEIL CT",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725815",
            "telephone_number": "516-766-0505",
            "fax_number": "516-766-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 NEIL CT",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725815",
            "telephone_number": "516-766-0505",
            "fax_number": "516-766-0680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 W Park Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "NY",
            "postal_code": "115613241",
            "country_code": "US",
            "telephone_number": "516-568-7858",
            "fax_number": "516-568-7860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONSANTO",
        "first_name": "GAYLORD",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-09",
        "last_updated": "2019-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "039451-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.