Individual provider Active NPI

Paul Montenegro, NP

  • Adult Health Nurse Practitioner
  • Barrington, NJ
National Provider Identifier
1114958345
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00011400 Issued in NJ
Practice address
600 Clements Bridge Road
Barrington, NJ 08007-1814
Phone
(856) 547-8000
Fax
(856) 547-8020
NPI assigned
Jul 5, 2006
Last updated
Jun 19, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ00011400 NJ Primary

Addresses

Primary practice location

600 Clements Bridge Road
Barrington, NJ 08007-1814

Mailing address

600 Clements Bridge Road
Barrington, NJ 08007-1814
Phone (856) 547-8000

Other identifiers 1

IdentifierTypeStateIssuer
9013300MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA, DE, NY, MD5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20111005000268 NJ Practitioner - Nurse Practitioner 3779565908 Reassigns benefits to 2 organizations
I20120530000034 PA Practitioner - Nurse Practitioner 3779565908 Reassigns benefits to 2 organizations
I20141223001422 DE Practitioner - Nurse Practitioner 3779565908
I20150702000192 NY Practitioner - Nurse Practitioner 3779565908 Reassigns benefits to 2 organizations
I20151229001601 MD Practitioner - Nurse Practitioner 3779565908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seto Medical Providers,LLCGroup PAC ID 6507943305, 2 clinicians

Practice addresses (Care Compare)

100 W Red Bank Ave
West Deptford, NJ 08096-3407
Phone (856) 292-8216

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Consonant Healing Medical Associates of NJ LLC CurrentSince Jan 1, 2023 Accepting new patients
Consonant Healing Medical Associates CurrentSince Jan 1, 2023 Accepting new patients
Senf NP Family Medicine PLLC CurrentSince May 9, 2023 Accepting new patients
Seto Medical Providers,LLC CurrentSince Mar 15, 2023 Accepting new patients
Visiting Physician Associates of South Jersey LLC Past Accepting new patients

Locations

919 Seton Dr
Cumberland, MD 21502
Phone (301) 777-0622

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

2381 Lawrenceville Rd
Lawrenceville, NJ 08648
Phone (609) 896-8152

100 Challenger Rd
Ste 205
Ridgefield Park, NJ 07660

100 Challenger Rd
#205
Ridgefield Pk, NJ 07660

100 Red Bank Ave
West Deptford, NJ 08096
Phone (856) 292-8216

67 Springvale Rd
Croton on Hudson, NY 10520
Phone (914) 739-6700

10421 State Route 40
Ste 300
Granville, NY 12832

301 Mill Rd
Ste U5
Hewlett, NY 11557

9131 175th St
Jamaica, NY 11432
Phone (340) 709-3133

905 Tower Rd
#3188
Bristol, PA 19007
Phone (215) 785-3201

4855 W Ridge Rd
Erie, PA 16506
Phone (814) 836-5300

2 Franklintown Blvd
Philadelphia, PA 19103
Phone (215) 563-1800

2630 Woodland Rd
Roslyn, PA 19001
Phone (215) 313-9358

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213833600000",
    "number": "1114958345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CLEMENTS BRIDGE ROAD",
            "city": "BARRINGTON",
            "state": "NJ",
            "postal_code": "080071814",
            "telephone_number": "856-547-8000",
            "fax_number": "856-547-8020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CLEMENTS BRIDGE ROAD",
            "city": "BARRINGTON",
            "state": "NJ",
            "postal_code": "080071814",
            "telephone_number": "856-547-8000",
            "fax_number": "856-547-8020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTENEGRO",
        "first_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00011400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9013300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, NJ

Sources for this page

Verify at the official NPI Registry.