NPIMap

Individual provider Active NPI

Vimalson Monickam

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1669556726
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
221615 Issued in NY
Practice address
555 Rockaway Pkwy
Brooklyn, NY 11212-3132
Phone
(718) 240-5166
Fax
(718) 240-6924
NPI assigned
Oct 25, 2006
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
Internal Medicine Physician 207R00000X 221615 NY Primary

Addresses

Primary practice location

555 Rockaway Pkwy
Brooklyn, NY 11212-3132

Mailing address

80 Marcus Dr
Melville, NY 11747-4230
Phone (631) 391-8366

Other identifiers 1

IdentifierTypeStateIssuer
02426699MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040304001315 NY Practitioner - Internal Medicine 1456249234 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

27111 76TH Ave
New Hyde Park, NY 11040-1436
Phone (718) 289-2281

Hospital & facility affiliations

  • Parker Jewish Inst for Health Care & Rehab Chha Home health agency, New Hyde Park, NY, CCN 337213
  • Comprehensive Comm Hospice of Parker Jewish Inst Hospice, New Hyde Park, NY, CCN 331561
  • Long Island Jewish Medical Center Hospital, New Hyde Park, NY, CCN 330195
  • Parker Jewish Institute for Health Care & Rehab Nursing home, New Hyde Park, NY, CCN 335132

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
221615NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Care Connect Medical P.C. Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
The Schulman and Schachne Institute for Nursing and Rehabilitation Inc. CurrentSince Jun 28, 2013 Accepting new patients
Parker Jewish Institute for Health Care and Rehabilitation CurrentSince Sep 8, 2019 Accepting new patients
Parker Jewish Institute for Health Care and Rehabilitation CurrentSince Sep 8, 2019 Accepting new patients
The Schulman and Schachne Institute for Nursing and Rehabilitation Inc CurrentSince Jun 28, 2013 Accepting new patients
Five Star Physician Services, LLC Internal Medicine Past Accepting new patients
Parker Jewish Institute for Health Care and Rehabilitation Past Accepting new patients
TJH Medical Services, P.C. Internal Medicine Past Accepting new patients
TJH Medical Services, PC Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

555 Rockaway Pkwy
Brooklyn, NY 11212
Phone (718) 240-5105

1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212

7 Skyline Dr
Ste 250
Hawthorne, NY 10532

27111 76th Ave
North New Hyde Pk, NY 11040
Phone (718) 289-2100

Interoperability endpoints

  • Direct secure messaging: vmonickam364566@nyumc.direct-ci.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 and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669556726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 MARCUS DR",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474230",
            "telephone_number": "631-391-8366",
            "fax_number": "631-454-4163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 ROCKAWAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123132",
            "telephone_number": "718-240-5166",
            "fax_number": "718-240-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONICKAM",
        "first_name": "VIMALSON",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "221615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02426699",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.