Monowara Begum, M.D.

Individual provider Active NPI Neuromusculoskeletal Medicine & OMM Physician · Tappan, NY

NPI 1750556239 · NPPES record last updated Apr 25, 2008

Key facts

NPI
1750556239
Entity type
Individual (NPI type 1)
Primary specialty
Neuromusculoskeletal Medicine & OMM Physician 204D00000X
License
153407 (NY)
Practice address
48 S Constitution Dr
Tappan, NY 10983-1619
Phone
(845) 359-7804
NPI assigned
Apr 25, 2008
Sex
Female
Sole proprietor
Yes

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.

Medicare Care Compare profile

Specialty
Psychiatry
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

48 S Constitution Dr
Tappan, NY 10983-1619
Phone (845) 359-7804

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20120423000380 NY Practitioner - Psychiatry 5799946554 Practice locations: Tappan, NY

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
153407NYMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monowara Begum MD Neuromusculoskeletal Medicine & Omm Past
since Mar 11, 1983
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 153407 NY Yes

Addresses

Primary practice location

48 S Constitution Dr
Tappan, NY 10983-1619

Mailing address

48 Constitution Dr
Tappan, NY 10983-1619
Phone (845) 359-7804

Other identifiers

IdentifierTypeStateIssuer
01557006MedicaidNY

Other providers in Tappan, NY

All providers in Tappan, NY · Neuromusculoskeletal Medicine & OMM Physician in New York

Sources for this page

Verify at the official NPI Registry.