Healthcare Provider Details

I. General information

NPI: 1659443356
Provider Name (Legal Business Name): MONICA JOSEPH DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 01/11/2026
Certification Date: 01/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1177 NOSTRAND AVE
BROOKLYN NY
11225-5911
US

IV. Provider business mailing address

3396 BAY FRONT DR
BALDWIN NY
11510-5105
US

V. Phone/Fax

Practice location:
  • Phone: 718-953-1043
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberN005086
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: