Organization Active NPI

Joseph W. Montagnino, Mdpa

  • Medical Specialty Clinic/Center
  • Hawthorne, NJ
National Provider Identifier
1174835300
Registry record updated Jul 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
25MA03358100 Issued in NJ
Legal business name
JOSEPH W. MONTAGNINO, MDPA
Practice address
625 Lafayette Ave
Hawthorne, NJ 07506-3401
Phone
(973) 238-0055
Fax
(973) 238-9826
NPI assigned
Jul 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2010

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

Authorized official

Name
Mrs. Lilia B Montagnino, R.N.
Title
Office Manager
Phone
(973) 238-0055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 25MA03358100 NJ Primary

Addresses

Primary practice location

625 Lafayette Ave
Hawthorne, NJ 07506-3401

Mailing address

PO Box 98
Wyckoff, NJ 07481-0098
Phone (973) 238-0055

Other identifiers 1

IdentifierTypeStateIssuer
3063402MedicaidNJ

National Provider Directory

National Provider Directory

Locations

625 Lafayette Ave
Hawthorne, NJ 07506
Phone (973) 238-0055

230 E Ridgewood Ave
Ste 6
Paramus, NJ 07652
Phone (201) 225-4700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278028800000",
    "number": "1174835300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98",
            "city": "WYCKOFF",
            "state": "NJ",
            "postal_code": "074810098",
            "telephone_number": "973-238-0055",
            "fax_number": "973-238-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 LAFAYETTE AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075063401",
            "telephone_number": "973-238-0055",
            "fax_number": "973-238-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH W. MONTAGNINO, MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-02",
        "last_updated": "2010-07-02",
        "status": "A",
        "authorized_official_last_name": "MONTAGNINO",
        "authorized_official_first_name": "LILIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-238-0055",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NJ",
            "license": "25MA03358100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3063402",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.