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ESOPUS MEDICAL, PC
NPI 1295701787
Family Medicine in Rifton, NY

Active since February 24, 2006CLIA Certified · 2 labs
105 WOODCREST DR, RIFTON, NY 12471(845) 658-7763 Get Directions Write a Review

NPPES record last updated: October 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Esopus Medical, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ESOPUS MEDICAL, PC (NPI 1295701787) is a healthcare organization registered as a family medicine in Rifton, New York and active in the NPI registry since February 2006. The organization holds 2 active CLIA laboratory certificates and lists Monika R.a. Mommsen, President, as its authorized official.

NPPES Registry Identity

NPI1295701787
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameESOPUS MEDICAL, PC
Location Address105 WOODCREST DRRifton, NY 12471-7200
Mailing Address10 Hellbrook LnUlster Park, NY 12487-5209 · (845) 658-7763
Phone(845) 658-7763
Organization SubpartNo
Authorized OfficialMonika R.a. MommsenPresident · (845) 658-7763
Enumeration DateFebruary 24, 2006
Last NPPES UpdateOctober 10, 2022
NPPES CertifiedOctober 10, 2022
✔ NPI 1295701787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 52862
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
105 WOODCREST DR, Rifton, NY 12471
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Other Identifiers 1

Medicaid02533053NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0719608

Esopus Medical PC · Rifton, NY
Active · expires Mar 26, 2027
CLIA Number33D0719608
Laboratory TypePhysician Office
Certificate Effective DateNovember 6, 2020
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Monika R. Mommsen
Laboratory Phone(845) 658-8961
Laboratory LocationEsopus Medical PC105 Woodcrest Drive, Rifton, NY 12471
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D0932056

Esopus Medical PC · Ulster Park, NY
Active · expires Mar 26, 2027
CLIA Number33D0932056
Laboratory TypePhysician Office
Certificate Effective DateDecember 13, 2021
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Anneke S. Maendel
Laboratory Phone(845) 658-7735
Laboratory LocationEsopus Medical PC120 Maple Ridge Dr, Ulster Park, NY 12487
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARILYN KOPPSCHALL
Physician Assistant
105 WOODCREST DR
RIFTON, NY 12471
Ulster County (724) 880-3626
NAOMI IRENE SHEGHRAM DMD
Dentist (General Practice)
105 WOODCREST DR
RIFTON, NY 12471
Ulster County (845) 481-7014
CHRISTA M EBONG RPA-C
Physician Assistant
105 WOODCREST DR
RIFTON, NY 12471
Ulster County (845) 658-7763
DR. MONIKA R. A. MOMMSEN MD
Family Medicine
105 WOODCREST DR
RIFTON, NY 12471
Ulster County (845) 658-7763
JOHANN HEINRICH ARNOLD RPA-C
Physician Assistant
105 WOODCREST DR
RIFTON, NY 12471
Ulster County (845) 658-7763
REUBEN W ZIMMERMAN RPA-C
Physician Assistant
105 WOODCREST DR
RIFTON, NY 12471
Ulster County (845) 658-7763
MARIA N HULEATT DDS
Dentist (General Practice)
105 WOODCREST DR
RIFTON, NY 12471
Ulster County (845) 658-8131
DR. ADRIAN JACK WISER DMD
Dentist
105 WOODCREST DR
RIFTON, NY 12471
Ulster County (917) 580-2836

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Esopus Medical, PC's NPI number?

The NPI number for Esopus Medical, PC is 1295701787. It was assigned to this organization in the NPPES registry on February 24, 2006.

Where is Esopus Medical, PC located?

Esopus Medical, PC is located at 105 Woodcrest Dr, Rifton, NY 12471. The listed phone number is (845) 658-7763.

What is Esopus Medical, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Esopus Medical, PC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Esopus Medical, PC was last updated on October 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.