Individual provider Active NPI

Christin A Montalbano, MD

  • Internal Medicine Physician
  • Bronx, NY
National Provider Identifier
1093700510
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
226622 Issued in NY
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

Updated by the provider on Jan 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02499883MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070711000935 NY Practitioner - Emergency MedicinePractitioner - Internal Medicine 8729188321 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation Internal Medicine CurrentSince Mar 27, 2017 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Mar 27, 2017 Accepting new patients
New York City Health and Hospitals Corporation Internal Medicine Current Accepting new patients
SV Operating Three LLC CurrentSince Jan 1, 2014 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.

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

Verify at the official NPI Registry.