NPI Code Detail JSON Logo

1639135171 NPI number — VIVIAN MONSANTO MD

NPI Number: 1639135171
Health Care Provider/Practitioner: VIVIAN MONSANTO MD

Information about “1639135171” NPI (VIVIAN MONSANTO MD) exists in 1639135171 in HTML format HTML  |  1639135171 in plain Text format TXT  |  1639135171 in PDF (Portable Document Format) PDF  |  1639135171 in an XML format XML  formats.

NPI Number : 1639135171 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1639135171",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MONSANTO",
    "FirstName": "VIVIAN",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "575 PARK AVE",
    "SecondLineMailingAddress": "APT. 307",
    "MailingAddressCityName": "NEW YORK",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "10021-7332",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "718-728-3400",
    "MailingAddressFaxNumber": "718-721-7562",
    "FirstLinePracticeLocationAddress": "3127 41ST ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ASTORIA",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11103-3901",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "718-728-3400",
    "PracticeLocationAddressFaxNumber": "718-721-7562",
    "EnumerationDate": "04/25/2006",
    "LastUpdateDate": "02/19/2014",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207W00000X",
        "TaxonomyName": "Ophthalmology Physician",
        "LicenseNumber": "202143",
        "LicenseNumberStateCode": "NY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.