MEDICARE: MONICA JOSEPH DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	N005086	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659443356
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA JOSEPH DPM

Provider Business Mailing Address
First Line	:	389 CORNELIA ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11237-6003
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1177 NOSTRAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11225-5911
Country	:	US
Telephone Number	:	347-295-2780
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	03/09/2026

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Directions to “ MONICA JOSEPH DPM” Practice Location

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