Active NPI
Kelvin Montero
- Social Worker
- Oakland Gardens, NY
National Provider Identifier
1003228586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 4803 206TH St FL 2
Oakland Gardens, NY 11364-1049 - Phone
- (718) 930-4267
- NPI assigned
- Jun 2, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
4803 206TH St FL 2
Oakland Gardens, NY 11364-1049
Mailing address
11412 14TH Ave
College Point, NY 11356-1412
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536796800000",
"number": "1003228586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11412 14TH AVE",
"city": "COLLEGE POINT",
"state": "NY",
"postal_code": "113561412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4803 206TH ST FL 2",
"city": "OAKLAND GARDENS",
"state": "NY",
"postal_code": "113641049",
"telephone_number": "718-930-4267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTERO",
"first_name": "KELVIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-02",
"last_updated": "2018-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland Gardens, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.