Individual provider Active NPI

Vasudeo V Mone, MD

  • Internal Medicine Physician
  • Brentwood, NY
National Provider Identifier
1508906439
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
NY126597 Issued in NY
Practice address
998 Crooked Hill Rd
Pilgrim Psychiatric Center
Brentwood, NY 11717-1043
Phone
(631) 761-3500
Fax
(631) 761-2815
NPI assigned
Feb 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NY126597 NY Primary

Addresses

Primary practice location

998 Crooked Hill Rd
Pilgrim Psychiatric Center
Brentwood, NY 11717-1043

Mailing address

21 Linden Ave
Kings Park, NY 11754-4806
Phone (631) 269-9380

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
NY126597NYMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508906439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 LINDEN AVE",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117544806",
            "telephone_number": "631-269-9380",
            "fax_number": "631-269-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 CROOKED HILL RD",
            "address_2": "PILGRIM PSYCHIATRIC CENTER",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117171043",
            "telephone_number": "631-761-3500",
            "fax_number": "631-761-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONE",
        "first_name": "VASUDEO",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "NY126597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.