Individual provider Active NPI

Monta Grunte

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1518558196
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1454392201 Issued in NY
Practice address
1075 Sheepshead Bay Rd Apt 3L
Brooklyn, NY 11229-4261
Phone
(646) 421-9621
NPI assigned
Jan 27, 2021
Last updated
Jan 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1454392201 NY Primary

Addresses

Primary practice location

1075 Sheepshead Bay Rd Apt 3L
Brooklyn, NY 11229-4261

Mailing address

1075 Sheepshead Bay Rd Apt 3L
Brooklyn, NY 11229-4261
Phone (646) 421-9621

Other identifiers 1

IdentifierTypeStateIssuer
1454392201OtherNYNY STATE DOE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Brooklyn

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

State licenses

LicenseStateTypeSpecialty
1454392201NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1518558196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 SHEEPSHEAD BAY RD APT 3L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294261",
            "telephone_number": "646-421-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 SHEEPSHEAD BAY RD APT 3L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294261",
            "telephone_number": "646-421-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUNTE",
        "first_name": "MONTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1454392201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY STATE DOE",
            "identifier": "1454392201",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Brooklyn",
            "affiliation": "N",
            "address_1": "1075 Sheepshead Bay Rd Apt 3L",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112294261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.