JEAN H MONFORT (NPI# 1114475308) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114475308 |
| Entity Type | Individual |
| Full Name | JEAN H MONFORT |
| Practice Address |
1065 Southern Blvd Bronx NY 10459-2417 |
| Practice Telephone | 9173531257 |
| Mailing Telephone | 9173531257 |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2016-09-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247100000X | Radiologic Technologist | 653696 | NY | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1065 SOUTHERN BLVD |
| City | BRONX |
| State | NY |
| Zip Code | 10459-2417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609872035 | Claude Parola | Internal Medicine | 1065 Southern Blvd, Bronx, NY 10459-2417 | 2005-06-21 |
| 1386243582 | Maribel Luna Cruz | Radiologic Technologist | 1065 Southern Blvd, Bronx, NY 10459-2417 | 2020-10-20 |
| 1669080685 | Anna Katrina Reyes Florendo | Nurse Practitioner | 1065 Southern Blvd, Bronx, NY 10459-2417 | 2020-07-15 |
| 1588280911 | Daniel James Mulcahy | Physician Assistant | 1065 Southern Blvd, Bronx, NY 10459-2417 | 2020-06-22 |
| 1629691142 | Kelly K Smith | Nurse Practitioner | 1065 Southern Blvd, Bronx, NY 10459-2417 | 2020-05-19 |
| 1740813856 | Oresta Victoria Borodevyc | Physician Assistant | 1065 Southern Blvd, Bronx, NY 10459-2417 | 2020-02-17 |
| 1891327557 | Temina A Kusi | Physician Assistant | 1065 Southern Blvd, Bronx, NY 10459-2417 | 2020-02-10 |
| 1780220590 | Maria Feliz | Social Worker | 1065 Southern Blvd, Bronx, NY 10459-2417 | 2019-11-27 |
| 1104460237 | Josiah Guitian | Physician Assistant | 1065 Southern Blvd, Bronx, NY 10459-2417 | 2019-11-01 |
| 1508400938 | Nayary Santana | Social Worker | 1065 Southern Blvd, Bronx, NY 10459-2417 | 2019-10-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508458 | Sterling Smiles LLC | Dentist | 1022 E163rd St, Bronx, NY 10459 | 2020-11-02 |
| 1710496633 | Vitus C. Ezerioha | Licensed Practical Nurse | 870 Southern Blvd., Apt 1a, Bronx, NY 10459 | 2017-09-22 |
| 1790208403 | Jessica S Lee | Early Intervention Provider Agency | 985 Intervale Ave Apt. 2c, Bronx, NY 10459 | 2017-07-25 |
| 1669901070 | Ruthlyn Merrick | Registered Nurse | 1466 Louis Nine Blvd, Bronx, NY 10459 | 2017-06-08 |
| 1154865681 | John Wahl | Speech-Language Pathologist | 977 Fox St., Is 217, Bronx, NY 10459 | 2016-12-19 |
| 1801349675 | Aneesa Ible | Social Worker | 953 Southern Blvd, Suite 301, Odyssey House Inc., Bronx, NY 10459 | 2016-07-28 |
| 1457711277 | Agboade Ademiju | Registered Nurse | 900 Intervale Ave, Archcare, Bronx, Bronx, NY 10459 | 2016-03-07 |
| 1952760076 | Apollo Radio Dispatcher | Taxi | 801 Freeman Street, Bronx, NY 10459 | 2016-02-17 |
| 1730547522 | Foxhurst Medical of New York LLC | Surgery | 947 Southern Blvd Ste B, Bronx, NY 10459 | 2016-02-08 |
| 1063892388 | Vismar Radio Dispatch Inc. | Taxi | 1040-52 Freeman St, Bronx, NY 10459 | 2015-06-02 |
| Find all providers in zip 10459 | ||||
| Taxonomy Code | 247100000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| An individual who is trained and qualified in the art and science of both ionizing and non-ionizing radiation for the purposes of diagnostic medical imaging, interventional procedures and therapeutic treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578013124 | Myrna I Hernandez | Radiologic Technologist | 920 Metcalf Ave, 20h, Bronx, NY 10473-4007 | 2016-10-06 |
| 1316123086 | New Imaging & Diagnostic Services, P.C. | Radiologic Technologist | 2400 Johnson Ave, 11 K, Bronx, NY 10463-6464 | 2008-01-12 |
| 1053404111 | Sabal Thakur | Radiologic Technologist | 1065 Southern Blvd, Bronx, NY 10459-2417 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912523648 | Anthony Russo | Radiologic Technologist | 163 Quarterdeck Pl, Rochester, NY 14612-1432 | 2020-06-18 |
| 1518414812 | Julia Price | Radiologic Technologist | 90 Riverwalk Way, Cohoes, NY 12047-3335 | 2016-09-02 |
| 1447620414 | Elzbieta Wojciechowska | Radiologic Technologist | 135 Spring Meadow Dr Apt 9, Buffalo, NY 14221-8437 | 2015-10-02 |
| 1912314220 | Michael Marchitte IIi | Radiologic Technologist | 32 N Ogden St, Buffalo, NY 14206-1429 | 2014-07-18 |
| 1902226319 | Kensington Radiology Group PC | Radiologic Technologist | 651b Coney Island Ave, Brooklyn, NY 11218-0000 | 2014-04-24 |
| 1063845683 | Precison Diagnostic Imaging Inc. | Radiologic Technologist | 278 Community Dr, Smithtown, NY 11787-3877 | 2013-08-19 |
| 1740580604 | 4220 Asscociates, PC | Radiologic Technologist | 2529 87th St, East Elmhurst, NY 11369-1020 | 2010-10-26 |
| 1932414471 | Suzanne Marciano | Radiologic Technologist | 3280 Sunrise Hwy, Suite 301, Wantagh, NY 11793-4024 | 2010-08-09 |
| 1134451883 | Ultraplus Group, Inc. | Radiologic Technologist | 2756 Gerritsen Ave, Brooklyn, NY 11229-5915 | 2010-02-05 |
| 1215266994 | Alysen Lin | Radiologic Technologist | 920 Jefferson St, Baldwin, NY 11510-4743 | 2009-12-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.