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: November 01, 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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Esopus Medical, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Esopus Medical, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Family Practice
NPI 1376519926
105 WOODCREST DR
Rifton, NY 12471
(845) 658-7763
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1336306497
151 BOWNE DR
Walden, NY 12586
(845) 572-3477
✔ PECOS✔ Accepts Medicare9.3 mi
Family Practice
NPI 1841277647
151 BOWNE DR
Walden, NY 12586
(845) 658-7763
✔ PECOS✔ Accepts Medicare9.3 mi
Family Practice
NPI 1316205420
1001 BROADWAY STE 223
Esopus, NY 12429
(453) 848-8040
✔ PECOS✔ Accepts Medicare14 mi
Family Practice
NPI 1447228002
1001 BROADWAY SUITE 223
Ulster Park, NY 12487
(845) 339-6680
✔ PECOS✔ Accepts Medicare14 mi
Family Practice
NPI 1841266475
1001 BROADWAY STE 223
Esopus, NY 12429
(845) 658-7763
✔ PECOS✔ Accepts Medicare14 mi
Certified Nurse Midwife (CNM)
NPI 1518944321
2255 PLATTE CLOVE RD
Elka Park, NY 12427
(845) 481-7005
✔ PECOS✔ Accepts Medicare33 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

Is Esopus Medical, PC enrolled in Medicare?

Yes. Esopus Medical, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Esopus Medical, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Esopus Medical, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (6) and Certified Nurse Midwife (CNM) (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 4 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.