NPIMap

Organization Active NPI

Monte Marder MD PC

  • Medical Specialty Clinic/Center
  • Millbrook, NY
National Provider Identifier
1780868489
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
164030 Issued in NY
Legal business name
MONTE MARDER MD PC
Practice address
3712 Route 44
Millbrook, NY 12545
Phone
(845) 677-6767
Fax
(845) 677-8728
NPI assigned
Dec 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Authorized official

Name
Monte Marder, MDNPI 1487762969
Title
President
Phone
(845) 677-6767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 164030 NY Primary

Addresses

Primary practice location

3712 Route 44
Millbrook, NY 12545

Mailing address

PO Box 167
Millbrook, NY 12545-0167
Phone (845) 677-6767

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1780868489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 167",
            "city": "MILLBROOK",
            "state": "NY",
            "postal_code": "125450167",
            "telephone_number": "845-677-6767",
            "fax_number": "845-677-8728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 ROUTE 44",
            "city": "MILLBROOK",
            "state": "NY",
            "postal_code": "12545",
            "telephone_number": "845-677-6767",
            "fax_number": "845-677-8728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTE MARDER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "MARDER",
        "authorized_official_first_name": "MONTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-677-6767",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "164030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.