Monika Opalko

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

026690 Issued in NY

Practice address

1053 Saw Mill River Rd # LL1
Ardsley, NY 10502-1048

Phone

(844) 566-2723

Fax

(914) 351-2316

NPI assigned

Aug 4, 2021

Sex

Female

Sole proprietor

No

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

Opted out of Medicare

Yes, effective Apr 1, 2023 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152
  NPD (past)
• Premier Medical of NJ

  • Cardiovascular Disease Physician
  • Clifton, NJ
  • NPI 1316724263
  NPD (past)
• Wellness & Pain PC

  • Surgery Physician
  • Clifton, NJ
  • NPI 1184255119
  NPD (past)

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694304000000",
    "number": "1679247647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 SAW MILL RIVER RD # LL1",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021048",
            "telephone_number": "844-566-2723",
            "fax_number": "914-351-2316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 SAW MILL RIVER RD # LL1",
            "city": "ARDSLEY",
            "state": "NY",
            "postal_code": "105021048",
            "telephone_number": "844-566-2723",
            "fax_number": "914-351-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPALKO",
        "first_name": "MONIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-04",
        "last_updated": "2023-09-10",
        "certification_date": "2023-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "026690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Lauren O'Connell, M.S
• Brianna Marie Ohici
• Lisa Oicle, LCSW
• Olsl New York Operating Company LLC
• Hande Omur, MD
• Orthocare Physical Therapy
• Yeside Imani Benson Osas, LMSW
• Melody Ovalles, DPT
• Carolyn Pagani, LCSW
• Surinder Pal, M.D,

• Physician Assistant in Ardsley, NY
• Providers in Ardsley, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.