Individual provider Active NPI

David H Montgomery, MD

  • Interventional Cardiology Physician
  • Oakland, NJ
National Provider Identifier
1124108808
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
25MA06243600 Issued in NJ
Practice address
43 Yawpo Ave
Oakland, NJ 07436
Phone
(201) 337-0066
Fax
(201) 337-7417
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 25MA06243600 NJ Primary

Addresses

Primary practice location

43 Yawpo Ave
Oakland, NJ 07436

Mailing address

43 Yawpo Ave
Oakland, NJ 07436
Phone (201) 337-0066

Other identifiers 1

IdentifierTypeStateIssuer
8614202MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20090114000392 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1759444938 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
JS Weill Medical College, Cornell University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
William K Lee MD PAGroup PAC ID 5294760161, 11 clinicians

Practice addresses (Care Compare)

43 Yawpo Ave
Oakland, NJ 07436-2714
Phone (201) 337-0066

Hospital & facility affiliations

  • Valley Home Care Inc. Home health agency, Paramus, NJ, CCN 317008
  • Atlantic Visiting Nurse Home health agency, Morristown, NJ, CCN 317054
  • Valley Hospital Hospital, Paramus, NJ, CCN 310012
  • Chilton Medical Center Hospital, Pompton Plains, NJ, CCN 310017
  • St Joseph'S University Medical Center Inc Hospital, Paterson, NJ, CCN 310019
  • Kessler Rehab Center Inpatient rehabilitation facility, West Orange, NJ, CCN 313025

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
William K Lee MD PA CurrentSince Jan 11, 1996 Accepting new patients
Ridgewood Cardiology Associates CurrentSince Jan 1, 2009 Accepting new patients
Valley Physician Services PC Past Accepting new patients
Valley Physician Services, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

200 Fairfield Rd
Fairfield, NJ 07004
Phone (973) 256-1799

700 Godwin Ave
Ste 100
Midland Park, NJ 07432

43 Yawpo Ave
Oakland, NJ 07436
Phone (201) 337-0066

43 Yawpo Ave
Ste 2A
Oakland, NJ 07436

43 Yawpo Ave
Ste 7
Oakland, NJ 07436
Phone (201) 416-8080

43 Yawpo Ave
Ste 3
Oakland, NJ 07436
Phone (201) 337-0066

43 Yawpo Ave
Ste 2
Oakland, NJ 07436
Phone (201) 337-0066

223 N Van Dien Ave
Ridgewood, NJ 07450
Phone (201) 447-8417

Interoperability endpoints

  • Direct secure messaging: david.montgomery.1@27406.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
WindmereNorth Haledon, NJ, CCN 315531 Skilled nursing facility Operational/Managerial Control Aug 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1124108808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 YAWPO AVE",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "07436",
            "telephone_number": "201-337-0066",
            "fax_number": "201-337-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 YAWPO AVE",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "07436",
            "telephone_number": "201-337-0066",
            "fax_number": "201-337-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "DAVID",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "25MA06243600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8614202",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, NJ

Sources for this page

Verify at the official NPI Registry.