Individual provider Active NPI

Joseph Monkofsky Jr., M.D.,M.P.H.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Syracuse, NY
National Provider Identifier
1588708457
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
140802 Issued in NY
Practice address
5092 Bradbury Dr
Syracuse, NY 13215-2306
Phone
(315) 440-8970
Fax
(315) 492-3585
NPI assigned
Feb 16, 2007
Sex
Male
Sole proprietor
Yes

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
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 140802 NY Primary

Addresses

Primary practice location

5092 Bradbury Dr
Syracuse, NY 13215-2306

Mailing address

5092 Bradbury Dr
Syracuse, NY 13215-2306
Phone (315) 440-8970

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
140802NYMDPreventive Medicine/Occupational Environmental Medicine Physician

Interoperability endpoints

  • Direct secure messaging: mirza_ashraf_md@hiemail.healtheconnections.org

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588708457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5092 BRADBURY DR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132152306",
            "telephone_number": "315-440-8970",
            "fax_number": "315-492-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5092 BRADBURY DR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132152306",
            "telephone_number": "315-440-8970",
            "fax_number": "315-492-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONKOFSKY",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.,M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "NY",
            "license": "140802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, 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.