Jennifer Monna, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

016128 Issued in NY

Practice address

6692 Middle Rd
Suite 2100
Sodus, NY 14551-9602

Phone

(315) 483-1199

Fax

(315) 483-2451

NPI assigned

Oct 12, 2012

Last updated

Apr 3, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emergency Care Services of New York, P.C.

  • Emergency Medicine Physician
  • Syracuse, NY
  • NPI 1639236656
  Medicare reassignment
• Finger Lakes Community Health

  • Federally Qualified Health Center (FQHC)
  • Port Byron, NY
  • NPI 1114198819
  Medicare reassignment
• Finger Lakes Community Health

  dba Dundee Community Health

  • Federally Qualified Health Center (FQHC)
  • Dundee, NY
  • NPI 1366939878
  NPD
• Finger Lakes Community Health

  • Federally Qualified Health Center (FQHC)
  • Sodus, NY
  • NPI 1669568465
  NPD (past)

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1851643936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 423",
            "city": "PENN YAN",
            "state": "NY",
            "postal_code": "145270423",
            "telephone_number": "315-531-9102",
            "fax_number": "315-531-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6692 MIDDLE RD",
            "address_2": "SUITE 2100",
            "city": "SODUS",
            "state": "NY",
            "postal_code": "145519602",
            "telephone_number": "315-483-1199",
            "fax_number": "315-483-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONNA",
        "first_name": "JENNIFER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-12",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "016128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03521455",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Naomy Melendez
• Anthony J Mendicino, DDS
• Corey M Meyn, NP
• MG Dodge Chiropractic, PC
• Manuela Milliman, RN
• Faig William Morgos, MD
• Albert Neri Jr., D.D.S
• North East Wayne Advanced Life Support, Inc.
• Debra L Palmer
• Patricia P Paprocki, LMT

• Physician Assistant in Sodus, NY
• Providers in Sodus, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.