Individual provider Active NPI

Brandon T Monk, DO, MBA

  • General Practice Physician
  • Brooklyn, NY
National Provider Identifier
1679194435
Registry record updated Nov 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
315042 Issued in NY
Practice address
633 Driggs Ave
Brooklyn, NY 11211-6993
Phone
(347) 987-4144
NPI assigned
May 4, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 315042 NY Primary

Addresses

Primary practice location

633 Driggs Ave
Brooklyn, NY 11211-6993

Mailing address

Geisinger Medical Center 100 North Academy Avenue
Danville, PA 17822-0001
Phone (570) 271-6211

Other practice location 1

16418 Northern Blvd
Flushing, NY 11358-2647
Phone (718) 939-5900

Other practice location 2

535 50th Ave
Long Island City, NY 11101-5967
Phone (718) 472-5900

Other practice location 3

3272 Steinway St Ste 101
Astoria, NY 11103-4183
Phone (718) 721-0101

Other identifiers 1

IdentifierTypeStateIssuer
049717909OtherGADRIVERS LICENSE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220516001422 NY Practitioner - General Practice 6406233329 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
315042NYMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Essen Medical Urgicare, PLLC CurrentSince Mar 1, 2022 Accepting new patients
Essen Medical Associates, PC CurrentSince Mar 1, 2022 Accepting new patients
Essen Medical Associates, PC CurrentSince Mar 1, 2022 Accepting new patients
Northern Urgent Medical Care PLLC PastSince Nov 11, 2009 Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients

Locations

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

8989 Union Tpke
Glendale, NY 11385
Phone (718) 480-6207

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668211200000",
    "number": "1679194435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GEISINGER MEDICAL CENTER 100 NORTH ACADEMY AVENUE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178220001",
            "telephone_number": "570-271-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 DRIGGS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112116993",
            "telephone_number": "347-987-4144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16418 Northern Blvd",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113582647",
            "country_code": "US",
            "telephone_number": "718-939-5900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "535 50th Ave",
            "address_purpose": "LOCATION",
            "city": "Long Island City",
            "state": "NY",
            "postal_code": "111015967",
            "country_code": "US",
            "telephone_number": "718-472-5900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3272 Steinway St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111034183",
            "country_code": "US",
            "telephone_number": "718-721-0101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONK",
        "first_name": "BRANDON",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DO, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-04",
        "last_updated": "2022-11-12",
        "certification_date": "2022-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "315042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "049717909",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.