Montclaire Medical Practice LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MONTCLAIRE MEDICAL PRACTICE LLC

Practice address

700 Montclaire Ave Ste B
Frederick, MD 21701-4577

Phone

(301) 663-5252

Fax

(301) 662-6973

NPI assigned

Oct 24, 2025

Last updated

Oct 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paulette Rozankowski, CRNPNPI 1720954381

Title

CRNP

Phone

(301) 663-5252

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Paulette Yvonne Rozankowski, FNP-C

  • Nurse Practitioner
  • Frederick, MD
  • NPI 1720954381

  Family Medicine

  Medicare reassignment NPD Authorized official
• Gifty Yeboah

  • Primary Care Nurse Practitioner
  • Frederick, MD
  • NPI 1073059309
  NPD (past)

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

{
    "created_epoch": "1761264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1497623235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MONTCLAIRE AVE STE B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014577",
            "telephone_number": "301-663-5252",
            "fax_number": "301-662-6973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 MONTCLAIRE AVE STE B",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014577",
            "telephone_number": "301-663-5252",
            "fax_number": "301-662-6973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTCLAIRE MEDICAL PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-24",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "ROZANKOWSKI",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_title_or_position": "CRNP",
        "authorized_official_telephone_number": "301-663-5252",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monocacy Health Partners LLC (Monocacy Health Partners Internal Medicine Associates)
• Monocacy Neurodevelopmental Center
• Monocacy Start Center
• Monocacy Surgery Center LLC
• Monsof LLC
• Montclaire Physical Therapy, LLC
• Sofia Monteblanco, DO
• Laine Montgomery Cornelison, MD
• Trisha N Montgomery, RN
• Innocent Monya-Tambi, MD

• Family Medicine Physician in Frederick, MD
• Providers in Frederick, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.