Individual provider Active NPI

Monique T. Welbeck, NP

  • Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1538356779
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
534142-1 Issued in NY
Practice address
235 Port Richmond Ave
Staten Island, NY 10302-1701
Phone
(718) 924-2254
Fax
(718) 442-0189
NPI assigned
Oct 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 534142-1 NY Primary

Addresses

Primary practice location

235 Port Richmond Ave
Staten Island, NY 10302-1701

Mailing address

235 Port Richmond Ave
Staten Island, NY 10302-1701
Phone (718) 924-2254

Other identifiers 1

IdentifierTypeStateIssuer
00357451MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071228000411 NY Practitioner - Nurse Practitioner 3072693266 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
534142-1NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Welbeck Adult Health NP PLLC CurrentSince Dec 26, 2023 Accepting new patients
Community Health Center of Richmond Inc Past Accepting new patients
Community Health Center of Richmond, Inc PastSince Jan 1, 2009 Accepting new patients
Bimc Faculty Practice Past Accepting new patients
Bimc Faculty Practice Past Accepting new patients

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AEICDD/Endpoint/AEICDD
  • Direct secure messaging: monique.welbeck@chcrny.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GBJJAA

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1538356779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 PORT RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103021701",
            "telephone_number": "718-924-2254",
            "fax_number": "718-442-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 PORT RICHMOND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103021701",
            "telephone_number": "718-924-2254",
            "fax_number": "718-442-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELBECK",
        "first_name": "MONIQUE",
        "middle_name": "T.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-02",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "534142-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00357451",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.