Organization Active NPI

Monogram Medical, PC

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1619206364
Registry record updated Dec 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MONOGRAM MEDICAL, PC
Practice address
1913 Avenue Z
Brooklyn, NY 11235-3408
Phone
(718) 934-6661
Fax
(718) 891-1417
NPI assigned
Dec 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2009

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

Authorized official

Name
Dr. Lance I Austein, M.D.NPI 1366430969
Title
President
Phone
(718) 934-6661

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1913 Avenue Z
Brooklyn, NY 11235-3408

Mailing address

1913 Avenue Z
Brooklyn, NY 11235-3408
Phone (718) 934-6661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091215000120 NY Part B Supplier - Clinic/Group Practice 9335289867 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0958873Monogram Medical PC1913 Avenue Z, Brooklyn, NY 11235Certificate of waiverMar 8, 2028

National Provider Directory

National Provider Directory

Locations

1913 Avenue Z
Brooklyn, NY 11235
Phone (718) 934-6661

28 Hancock St
Staten Island, NY 10305

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260316800000",
    "number": "1619206364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 AVENUE Z",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353408",
            "telephone_number": "718-934-6661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 AVENUE Z",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112353408",
            "telephone_number": "718-934-6661",
            "fax_number": "718-891-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONOGRAM MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-09",
        "last_updated": "2009-12-09",
        "status": "A",
        "authorized_official_last_name": "AUSTEIN",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-934-6661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Dec 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.