Active NPI
Tara Gaston Moncman, DO
- Orthopaedic Foot and Ankle Surgery Physician
- Oakland Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Foot and Ankle Surgery Physician
- License
- OS19222
- Practice address
- 5597 N Dixie Hwy
Oakland Park, FL 33334-3406 - Phone
- (203) 615-8405
- NPI assigned
- May 18, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | OS19222 | FL | Primary |
Addresses
Primary practice location
5597 N Dixie Hwy
Oakland Park, FL 33334-3406
Mailing address
5597 N Dixie Hwy
Oakland Park, FL 33334-3406
Phone (203) 615-8405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Rowan University School of Osteopathic Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5597 N Dixie Hwy
Holy Cross Medical Group
Oakland Park, FL 33334-3406
Phone (954) 958-4800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holy Cross Hospital Inc | Current | Accepting new patients | |
| Rothman Orthopaedics of Florida,PLLC | Current | Accepting new patients | |
| Rothman Orthopaedics of Florida,PLLC | Current | Accepting new patients | |
| Holy Cross Hospital, Inc | Current | Accepting new patients |
Locations
1309 S Federal Hwy
#G
Ft Lauderdale, FL 33316
Phone (954) 463-4383
5597 N Dixie Hwy
Fl 2
Oakland Park, FL 33334
Phone (954) 942-0321
5597 N Dixie Hwy
Oakland Park, FL 33334
Phone (954) 267-6390
255 N Lakemont Ave
Ste 207
Winter Park, FL 32792
Phone (407) 852-5333
Interoperability endpoints
- tmoncman3449295@direct.trinity-health.org
Organizations & group practices 4
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.
-
dba Holy Cross Medical Group
- Internal Medicine Physician
- Fort Lauderdale, FL
- NPI 1467401877
-
dba Rothman Orthopaedic Institute
- Orthopaedic Surgery Physician
- Orlando, FL
- NPI 1669086872
-
dba Holy Cross Diabetes Prevention Program
- Health & Wellness Coach
- Oakland Park, FL
- NPI 1063207595
-
dba Rothman Orthopaedic Institute
- Prosthetic/Orthotic Supplier
- Winter Park, FL
- NPI 1891371779
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Holy Cross Medical Group
- Internal Medicine Physician
- Fort Lauderdale, FL
- NPI 1467401877
Hospital
-
dba Holy Cross Hospital
- General Acute Care Hospital
- Fort Lauderdale, FL
- NPI 1639197395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1801243092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5597 N DIXIE HWY",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333343406",
"telephone_number": "203-615-8405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5597 N DIXIE HWY",
"city": "OAKLAND PARK",
"state": "FL",
"postal_code": "333343406",
"telephone_number": "203-615-8405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONCMAN",
"first_name": "TARA",
"middle_name": "GASTON",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-18",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "FL",
"license": "OS19222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.