Individual provider Active NPI

Monica M Rogalski, DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • Hudson, NY
National Provider Identifier
1932215290
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
203485-1 Issued in NY
Practice address
399 CRT 22
Renascent Health Center
Hudson, NY 12534
Phone
(518) 828-5656
Fax
(518) 822-9288
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 203485-1 NY Primary
Family Medicine Physician 207Q00000X 203485-1 NY

Addresses

Primary practice location

399 CRT 22
Renascent Health Center
Hudson, NY 12534

Mailing address

399 County Route 22
Renascent Health Center
Hudson, NY 12534-3266
Phone (518) 828-5656

Other identifiers 1

IdentifierTypeStateIssuer
2034858OtherNYWCB

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
I20041123000399 NY Practitioner - Osteopathic Manipulative MedicinePractitioner - PsychiatryPractitioner - Geriatric PsychiatryPractitioner - Geriatric MedicinePractitioner - Pain ManagementPractitioner - Preventive MedicinePractitioner - Family Practice 9436114022 Practice locations: Hudson, NY; New York, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
203485-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renascent Health Center Neuromusculoskeletal Medicine & Omm Past Accepting new patients

Organizations & group practices 1

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275523200000",
    "number": "1932215290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 COUNTY ROUTE 22",
            "address_2": "RENASCENT HEALTH CENTER",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125343266",
            "telephone_number": "518-828-5656",
            "fax_number": "518-822-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 CRT 22",
            "address_2": "RENASCENT HEALTH CENTER",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "12534",
            "telephone_number": "518-828-5656",
            "fax_number": "518-822-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGALSKI",
        "first_name": "MONICA",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2010-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "203485-1",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "203485-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WCB",
            "identifier": "2034858",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, NY

Sources for this page

Verify at the official NPI Registry.