Organization Active NPI

Edward Montoya

  • Podiatric Clinic/Center
  • Elizabeth, NJ
National Provider Identifier
1083067771
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
Legal business name
EDWARD MONTOYA
Practice address
300 Washington Ave
Elizabeth, NJ 07202-3317
Phone
(908) 820-9799
Fax
(908) 264-0772
NPI assigned
Jul 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Authorized official

Name
Dr. Edward Montoya, DPM
Title
Owner
Phone
(908) 820-9799

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X Primary

Addresses

Primary practice location

300 Washington Ave
Elizabeth, NJ 07202-3317

Mailing address

300 Washington Ave
Elizabeth, NJ 07202-3317
Phone (908) 820-9799

National Provider Directory

National Provider Directory

Locations

300 Washington Ave
Elizabeth, NJ 07202
Phone (908) 275-7882

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1083067771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WASHINGTON AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023317",
            "telephone_number": "908-820-9799",
            "fax_number": "908-264-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WASHINGTON AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023317",
            "telephone_number": "908-820-9799",
            "fax_number": "908-264-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD MONTOYA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "MONTOYA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-820-9799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.