Active NPI
Monica J Henoch, MD
- Pediatrics Physician
- Rochester, NY
National Provider Identifier
1568420362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 169999
- Practice address
- 2 Fintray PL
Rochester, NY 14607-2912 - Phone
- (585) 461-1029
- NPI assigned
- May 2, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 169999 | NY | Primary |
Addresses
Primary practice location
2 Fintray PL
Rochester, NY 14607-2912
Mailing address
2 Fintray PL
Rochester, NY 14607-2912
Phone (585) 461-1029
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050915000103 | Other | NY | FIDELIS |
| 00355266 | Medicaid | NY | |
| 00025371101 | Other | NY | UNIVERA |
| 102532DL | Other | NY | PREFERRED CARE |
| P010169999 | Other | NY | BLUE CHOICE |
| 1292608 | Other | NY | IHA |
| 11122747 | Other | NY | CAQH |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292371200000",
"number": "1568420362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 FINTRAY PL",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146072912",
"telephone_number": "585-461-1029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 FINTRAY PL",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146072912",
"telephone_number": "585-461-1029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENOCH",
"first_name": "MONICA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-02",
"last_updated": "2010-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "169999",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "050915000103",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00355266",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERA",
"identifier": "00025371101",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "102532DL",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHOICE",
"identifier": "P010169999",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IHA",
"identifier": "1292608",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11122747",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.