Individual provider Active NPI

Deirdre A Montez, CADC

  • Addiction (Substance Use Disorder) Counselor
  • River Edge, NJ
National Provider Identifier
1073298089
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
37CA00179700 Issued in NJ
Practice address
215 Kinderkamack Rd Apt N4
River Edge, NJ 07661-2090
Phone
(201) 993-7807
NPI assigned
Jun 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37CA00179700 NJ Primary

Addresses

Primary practice location

215 Kinderkamack Rd Apt N4
River Edge, NJ 07661-2090

Mailing address

215 Kinderkamack Rd Apt N4
River Edge, NJ 07661-2090
Phone (201) 993-7807

Other practice location 1

215 Kinderkamack Rd Apt N4
River Edge, NJ 07661-2090
Phone (201) 993-7807

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

State licenses

LicenseStateTypeSpecialty
37CA00179700NJMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Deedles, LLC Addiction (Substance Use Disorder) CurrentSince Jun 25, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1073298089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 KINDERKAMACK RD APT N4",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076612090",
            "telephone_number": "201-993-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 KINDERKAMACK RD APT N4",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076612090",
            "telephone_number": "201-993-7807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Kinderkamack Rd Apt N4",
            "address_purpose": "LOCATION",
            "city": "River Edge",
            "state": "NJ",
            "postal_code": "076612090",
            "country_code": "US",
            "telephone_number": "201-993-7807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTEZ",
        "first_name": "DEIRDRE",
        "middle_name": "A",
        "credential": "CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37CA00179700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in River Edge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.