Individual provider Active NPI

Monica L. Halem, MD

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1891996302
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
249120 Issued in NY
Practice address
988 5TH Ave
New York, NY 10075-0187
Phone
(212) 988-2400
NPI assigned
May 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 249120 NY Primary
Dermatology Physician 207N00000X ME98380 FL

Addresses

Primary practice location

988 5TH Ave
New York, NY 10075-0187

Mailing address

988 5TH Ave
New York, NY 10075-0187
Phone (212) 988-2400

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
I20080917000345 NY Practitioner - Dermatology 1951491869 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Miami, LM Miller School of Medicine, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Monica Halem MD PCGroup PAC ID 8527220649, 2 clinicians

Practice addresses (Care Compare)

988 5TH Ave
New York, NY 10075-0143
Phone (646) 576-5711

988 5TH Ave
New York, NY 10075-0187
Phone (212) 988-2400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions116
Removal of skin cancer77
Skin biopsy168

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME98380FLMDDermatology Physician
249120NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Halem Dermatology PLLC Dermatology CurrentSince Jul 22, 2020 Accepting new patients
Monica Halem MD PC Dermatology CurrentSince Feb 28, 2012 Accepting new patients
Trustees of Columbia in the City of New York Dermatology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mhalem67148@northwell.direct-ci.com

Organizations & group practices 3

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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356652800000",
    "number": "1891996302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750187",
            "telephone_number": "212-988-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "988 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750187",
            "telephone_number": "212-988-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEM",
        "first_name": "MONICA",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2012-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "249120",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME98380",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.