Active NPI
Christin A Montalbano, MD
- Internal Medicine Physician
- Bronx, NY
National Provider Identifier
1093700510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 226622
- Practice address
- 2024 Creston Ave
Bronx, NY 10453-4244 - Phone
- (718) 618-0401
- Fax
- (718) 299-6797
- NPI assigned
- Sep 12, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 226622 | NY | Primary |
Addresses
Primary practice location
2024 Creston Ave
Bronx, NY 10453-4244
Mailing address
135 Alex Cir
Staten Island, NY 10305-4765
Phone (917) 693-0845
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02499883 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York City Health and Hospitals Corporation | Internal Medicine | Current | Accepting new patients |
| New York City Health and Hospitals Corporation | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Internal Medicine | Current | Accepting new patients |
| SV Operating Three LLC | Current | Accepting new patients | |
| Staten Island Hospitalists, PC | Internal Medicine | Past | Accepting new patients |
| Richard P Carr Physical Therapy Inc | Past | Accepting new patients | |
| University Physicians Group P C | Internal Medicine | Past | Accepting new patients |
Locations
50 Water St
Fl 3
New York, NY 10004
91 Tompkins Ave
Staten Island, NY 10304
Phone (718) 876-1200
460 Brielle Ave
Staten Island, NY 10314
Phone (646) 694-6680
Organizations & group practices 8
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.
-
- Clinic/Center
- New York, NY
- NPI 1548208127
Internal Medicine
-
- Geriatric Medicine (Internal Medicine) Physician
- Staten Island, NY
- NPI 1396003182
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1356726087
-
- Skilled Nursing Facility
- Staten Island, NY
- NPI 1285642512
Internal Medicine
-
- Clinic/Center
- New York, NY
- NPI 1538943469
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1306836978
-
- General Practice Physician
- Staten Island, NY
- NPI 1104872134
Internal Medicine
-
- Physical Therapist
- San Jose, CA
- NPI 1881676377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390867200000",
"number": "1093700510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 ALEX CIR",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103054765",
"telephone_number": "917-693-0845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2024 CRESTON AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104534244",
"telephone_number": "718-618-0401",
"fax_number": "718-299-6797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTALBANO",
"first_name": "CHRISTIN",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-12",
"last_updated": "2014-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "226622",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02499883",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.