Individual provider Active NPI

Monique Contento, RPA-C

  • Medical Physician Assistant
  • Stony Brook, NY
National Provider Identifier
1609174796
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
014591 Issued in NY
Practice address
100 Patriots Rd
Stony Brook, NY 11790-3318
Phone
(631) 444-8584
NPI assigned
Mar 14, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 014591 NY Primary

Addresses

Primary practice location

100 Patriots Rd
Stony Brook, NY 11790-3318

Mailing address

239 Middle Country Rd
Selden, NY 11784-2516
Phone (631) 696-5437

Other practice location 1

239 Middle Country Rd
Selden, NY 11784-2516
Phone (631) 696-5437

Other practice location 2

112 Terryville Rd
Port Jefferson Station, NY 11776-1329
Phone (631) 209-2827

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
I20120322000284 NY Practitioner - Physician Assistant 5991965329 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
State of New York Comptrollers Office CurrentSince Jan 26, 2019 Accepting new patients
State of New York Comptrollers Office CurrentSince Jan 26, 2019 Accepting new patients
Night Lite Pediatric Center, LLC Past Accepting new patients
St Catherine of Siena Medical Center Past Accepting new patients
PM Pediatrics PC Past Accepting new patients
Allied Physicians Group, PLLC Past Accepting new patients
PM Pediatrics of Selden Past Accepting new patients
PM Pediatrics of Mamaroneck Past Accepting new patients

Locations

100 Patriots Rd
Stony Brook, NY 11790
Phone (631) 444-8500

Interoperability endpoints

  • Direct secure messaging: monique.contento@pmuc.eclinicaldirectplus.com

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1609174796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 MIDDLE COUNTRY RD",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117842516",
            "telephone_number": "631-696-5437",
            "fax_number": "631-698-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PATRIOTS RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117903318",
            "telephone_number": "631-444-8584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "239 Middle Country Rd",
            "address_purpose": "LOCATION",
            "city": "Selden",
            "state": "NY",
            "postal_code": "117842516",
            "country_code": "US",
            "telephone_number": "631-696-5437",
            "fax_number": "631-698-2049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 Terryville Rd",
            "address_purpose": "LOCATION",
            "city": "Port Jefferson Station",
            "state": "NY",
            "postal_code": "117761329",
            "country_code": "US",
            "telephone_number": "631-209-2827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONTENTO",
        "first_name": "MONIQUE",
        "name_prefix": "Mrs.",
        "credential": "RPA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-14",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "014591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.