Brij Mohan, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

255216-1 Issued in NY

Practice address

68 Harris Bushville Rd
Monticello, NY 12701-3027

Phone

(845) 794-0996

Fax

(845) 796-1404

NPI assigned

Jul 6, 2007

Last updated

Mar 23, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Catskill Regional Medical Center

  dba CRMC Physician Services

  • Family Medicine Physician
  • Monticello, NY
  • NPI 1720039563

  Surgery

  NPD (past)

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269302400000",
    "number": "1689872012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 N LEHIGH AVE",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070163040",
            "telephone_number": "908-644-5182",
            "fax_number": "908-272-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 HARRIS BUSHVILLE RD",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127013027",
            "telephone_number": "845-794-0996",
            "fax_number": "845-796-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAN",
        "first_name": "BRIJ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-06",
        "last_updated": "2010-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "R8004",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD438480",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "255216-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Lynn Migliorino, MA CCC SLP
• Susan K. Miller, LCSW
• Joan M Mingo, PT
• Roberta Mitchell-Krebs
• Mahrous Mohamed, DPT
• Wanda Monroe
• Monticello Central School District
• Monticello Family Medicine & Walk-in Center
• Monticello Pharmacy, Inc.
• Montrose Vamc

• Surgery Physician in Monticello, NY
• Providers in Monticello, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.