Jack Morton Monchik, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

4594 Issued in RI

Practice address

154 Waterman Street
Providence, RI 02906-5713

Phone

(401) 351-1853

NPI assigned

Jan 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• J.M. Monchik MD Inc.

  • Surgery Physician
  • Providence, RI
  • NPI 1588805410
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669529004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SLATER AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065713",
            "telephone_number": "401-351-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 WATERMAN STREET",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065713",
            "telephone_number": "401-351-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCHIK",
        "first_name": "JACK",
        "middle_name": "MORTON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "RI",
            "license": "4594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mona R. Barbera, PH.D.
• Sean Monaghan, M.D.
• Amy Monahan, RN
• Monarch
• Monarch
• Keith Monchik, M.D.
• Christian Moneke-Obiekwe
• Nina Moneymaker, NP
• Heidi M Monroe, LICSW
• Victoria Anne Montagano, LCSW

• Specialist in Providence, RI
• Providers in Providence, RI by specialty
• Specialist in Rhode Island

• 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.