Active NPI
Mark Monroe
- School Psychologist
- Floral Park, NY
National Provider Identifier
1477077972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 289 Louis Ave
Floral Park, NY 11001-3524 - Phone
- (347) 554-3810
- Fax
- (347) 554-3810
- NPI assigned
- Jul 27, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | NY | Primary |
Addresses
Primary practice location
289 Louis Ave
Floral Park, NY 11001-3524
Mailing address
289 Louis Ave
Floral Park, NY 11001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17440000X | Other | NY | SPECIALIST |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501113600000",
"number": "1477077972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "289 LOUIS AVE",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "11001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "289 LOUIS AVE",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110013524",
"telephone_number": "347-554-3810",
"fax_number": "347-554-3810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONROE",
"first_name": "MARK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-27",
"last_updated": "2017-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECIALIST",
"identifier": "17440000X",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Floral Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.