Individual provider Active NPI

Virgilio A Monteleone, MD

  • Pediatrics Physician
  • Brewster, NY
National Provider Identifier
1780761528
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
110381 Issued in NY
Practice address
263 N Brewster Rd
Brewster, NY 10509-2844
Phone
(845) 279-5161
Fax
(845) 279-5070
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 110381 NY Primary

Addresses

Primary practice location

263 N Brewster Rd
Brewster, NY 10509-2844

Mailing address

PO Box 413
Brewster, NY 10509-0413
Phone (845) 279-5161

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
I20150227000280 NY Practitioner - Pediatric Medicine 5991021487 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Boston Children'S Health Physicians, LLP Pediatrics CurrentSince Jan 1, 2015 Accepting new patients
Boston Childrens Health Physicians LLP CurrentSince Jan 1, 2015 Accepting new patients

Locations

263 N Brewster Rd
Brewster, NY 10509
Phone (845) 279-3998

19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332374400000",
    "number": "1780761528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 413",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105090413",
            "telephone_number": "845-279-5161",
            "fax_number": "845-279-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 N BREWSTER RD",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105092844",
            "telephone_number": "845-279-5161",
            "fax_number": "845-279-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTELEONE",
        "first_name": "VIRGILIO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "110381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewster, NY

Sources for this page

Verify at the official NPI Registry.