Organization Active NPI

Dr. Montanarella & Associates, PA

  • Obstetrics Physician
  • Manchester, NH
National Provider Identifier
1205948643
Registry record updated Mar 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
Legal business name
DR. MONTANARELLA & ASSOCIATES, PA
Practice address
30 Canton St
Suite 6
Manchester, NH 03103-3524
Phone
(603) 624-1638
Fax
(603) 624-1972
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2009

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

Authorized official

Name
Mary Jo Montanarella, MDNPI 1043294564
Title
Owner
Phone
(603) 624-1638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0000X Primary

Addresses

Primary practice location

30 Canton St
Suite 6
Manchester, NH 03103-3524

Mailing address

30 Canton St
Suite 6
Manchester, NH 03103-3524
Phone (603) 624-1638

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040804000402 NH Part B Supplier - Clinic/Group Practice 0840261715 Receives reassigned benefits from 1 practitioner
Practice locations: Manchester, NH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
30D1007102Dr Montanarella and Associates30 Canton St Ste 6, Manchester, NH 03103Provider-performed microscopyApr 27, 2027

National Provider Directory

National Provider Directory

Locations

30 Canton St
Ste 6
Manchester, NH 03103
Phone (603) 624-1638

Practitioners & affiliated clinicians

Practitioners 3

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237507200000",
    "number": "1205948643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CANTON ST",
            "address_2": "SUITE 6",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031033524",
            "telephone_number": "603-624-1638",
            "fax_number": "603-624-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CANTON ST",
            "address_2": "SUITE 6",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031033524",
            "telephone_number": "603-624-1638",
            "fax_number": "603-624-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MONTANARELLA & ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-03-20",
        "status": "A",
        "authorized_official_last_name": "MONTANARELLA",
        "authorized_official_first_name": "MARY JO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-624-1638",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.