Organization Active NPI

J Montelus Nurse Practitioner in Adult Health PC

  • Community Health Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1073149456
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
J MONTELUS NURSE PRACTITIONER IN ADULT HEALTH PC
Practice address
1674 Brooklyn Ave
Brooklyn, NY 11210-3427
Phone
(516) 661-6274
NPI assigned
Mar 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joselle Montelus, DNP
Title
Nurse Practioner/President
Phone
(516) 661-6274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

1674 Brooklyn Ave
Brooklyn, NY 11210-3427

Mailing address

1674 Brooklyn Ave
Brooklyn, NY 11210-3427
Phone (516) 661-6274

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1073149456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1674 BROOKLYN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103427",
            "telephone_number": "516-661-6274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1674 BROOKLYN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112103427",
            "telephone_number": "516-661-6274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J MONTELUS NURSE PRACTITIONER IN ADULT HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-18",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "MONTELUS",
        "authorized_official_first_name": "JOSELLE",
        "authorized_official_title_or_position": "NURSE PRACTIONER/PRESIDENT",
        "authorized_official_telephone_number": "516-661-6274",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.