Active NPI
Brij Mohan, M.D.
- Surgery Physician
- Monticello, NY
National Provider Identifier
1689872012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 255216-1
- Practice address
- 68 Harris Bushville Rd
Monticello, NY 12701-3027 - Phone
- (845) 794-0996
- Fax
- (845) 796-1404
- NPI assigned
- Jul 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | R8004 | IA | |
| Surgery Physician | 208600000X | MD438480 | PA | |
| Surgery Physician | 208600000X | 255216-1 | NY | Primary |
Addresses
Primary practice location
68 Harris Bushville Rd
Monticello, NY 12701-3027
Mailing address
191 N Lehigh Ave
Cranford, NJ 07016-3040
Phone (908) 644-5182
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 255216 | Other | NY | NY LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R8004 | IA | MD | Surgery Physician |
| 255216-1 | NY | MD | Surgery Physician |
| MD438480 | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catskill Regional Medical Center | Surgery | Past | Accepting new patients |
Organizations & group practices 1
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": "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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY LICENSE",
"identifier": "255216",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monticello, NY
Sources for this page
- 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.