Stephen A Monaco, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

SC002625L Issued in PA

Practice address

1120 W Township Line Rd
Suite 300
Havertown, PA 19083-4929

Phone

(610) 446-1392

Fax

(610) 449-2933

NPI assigned

Jul 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

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.

• Sam Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Havertown, PA
  • NPI 1982858353
  NPD (past) Authorized official

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321488000000",
    "number": "1932108701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 W TOWNSHIP LINE RD",
            "address_2": "SUITE 300",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834929",
            "telephone_number": "610-446-1392",
            "fax_number": "610-449-2933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 W TOWNSHIP LINE RD",
            "address_2": "SUITE 300",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834929",
            "telephone_number": "610-446-1392",
            "fax_number": "610-449-2933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONACO",
        "first_name": "STEPHEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2011-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC002625L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donnalee Mintz
• Seyed Nasser Mirafzali
• Alba Nydia Miranda, LCSW
• Megan Mitts
• Modern Medical Equipment and Supplies
• Helen Josephine Monek
• Arnelda Terezse Monroe-Butler, LCSW
• Judy Montevideo-Berry
• Desiree Moore
• Elizabeth Moore, LPC

• Foot & Ankle Surgery Podiatrist in Havertown, PA
• Providers in Havertown, PA by specialty
• Foot & Ankle Surgery Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.