Individual provider Active NPI

Owen C Montgomery, MD

  • Obstetrics & Gynecology Physician
  • Philadelphia, PA
National Provider Identifier
1114982204
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD029056E Issued in PA
Practice address
216 N Broad St
4TH Floor Feinstein
Philadelphia, PA 19102-1121
Phone
(215) 762-3600
Fax
(215) 762-4323
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD029056E PA Primary

Addresses

Primary practice location

216 N Broad St
4TH Floor Feinstein
Philadelphia, PA 19102-1121

Mailing address

1601 Cherry St
Suite 11511
Philadelphia, PA 19102-1321
Phone (215) 255-7822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051012000382 PA Practitioner - Obstetrics/Gynecology 5991720518 Reassigns benefits to 5 organizations
I20140610000508 NJ Practitioner - Obstetrics/Gynecology 5991720518 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Hahnemann University College of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kennedy Medical Group Practice, P.C.Group PAC ID 2860616877, 417 clinicians

Practice addresses (Care Compare)

165 Princeton Ave
West Deptford, NJ 08096-3123
Phone (844) 542-2273

Hospital & facility affiliations

  • Jefferson Stratford Hospital Hospital, Stratford, NJ, CCN 310086

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD029056EPAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abington Memorial Hospital Obstetrics & Gynecology CurrentSince Mar 1, 2021 Accepting new patients
Methodist Associates in Healthcare, Inc CurrentSince Apr 8, 2020 Accepting new patients
Kennedy Medical Group Practice, P.C. Obstetrics & Gynecology Current Accepting new patients
Kennedy Medical Group Practice, P.C. CurrentSince Dec 16, 2021 Accepting new patients
Southern Jersey Family Medical Centers, Inc. CurrentSince Apr 1, 2025 Accepting new patients
Kennedy Medical Group Practice PC CurrentSince Dec 16, 2021 Accepting new patients
Jefferson University Physicians Obstetrics & Gynecology CurrentSince Feb 1, 2020 Accepting new patients
Abington Memorial Hospital CurrentSince Mar 1, 2021 Accepting new patients
Drexel University Current Accepting new patients
Abington Memorial Hospital CurrentSince Mar 1, 2021 Accepting new patients
Methodist Associates in Healthcare, Inc. CurrentSince Apr 8, 2020 Accepting new patients
Methodist Associates in Healthcare, Inc Obstetrics & Gynecology Current Accepting new patients
Southern Jersey Family Medical Centers, Inc CurrentSince Apr 1, 2025 Accepting new patients

Locations

457 Haddonfield Rd
Ste 110
Cherry Hill, NJ 08002
Phone (856) 406-4091

860 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200

238 E Broadway
Salem, NJ 08079
Phone (800) 486-0131

205 E Laurel Rd
Stratford, NJ 08084
Phone (856) 344-7360

165 Princeton Ave
West Deptford, NJ 08096
Phone (856) 384-0210

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

1245 Highland Ave
Ste 109
Abington, PA 19001
Phone (215) 481-3900

700 Walnut St
Fl 2
Philadelphia, PA 19106
Phone (215) 503-4779

2301 S Broad St
Ste 102
Philadelphia, PA 19148
Phone (215) 952-5175

1601 Cherry St
Ste 11511
Philadelphia, PA 19102

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187568000000",
    "number": "1114982204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CHERRY ST",
            "address_2": "SUITE 11511",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021321",
            "telephone_number": "215-255-7822",
            "fax_number": "215-255-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N BROAD ST",
            "address_2": "4TH FLOOR FEINSTEIN",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021121",
            "telephone_number": "215-762-3600",
            "fax_number": "215-762-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "OWEN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2007-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD029056E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.