Provider Demographics
NPI:1386612505
Name:MONACO, JOSEPH JOHN
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:JOHN
Last Name:MONACO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 LINWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-2308
Mailing Address - Country:US
Mailing Address - Phone:716-697-7654
Mailing Address - Fax:716-675-9232
Practice Address - Street 1:70 LINWOOD AVE
Practice Address - Street 2:
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-2308
Practice Address - Country:US
Practice Address - Phone:716-675-9232
Practice Address - Fax:716-675-9217
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO1450811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
00011249905OtherUNIVERA MEDICARE PPO
00011249905OtherUNIVERA COMMERCIAL
050725000043OtherFIDELIS CHILD HEALTH PLUS
00011249905OtherASO
00011249905OtherSENIOR CHOICE
000525495001OtherBCBS WNY
050725000043OtherFIDELIS FAMILY HEALTH PLU
00011249905OtherUNIVERA TRANSITIONS
NY01465154Medicaid
050725000043OtherFIDELIS
00011249905OtherUNIVERA HEALTHCARE TRADIT
00011249905OtherCHILDHEALTH PLUS
800006710OtherRAILROAD MEDICARE
00011249905OtherPLUSMED
160975538OtherMAGNA CARE