Individual provider Active NPI

Juan D Montoya, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Boynton Beach, FL
National Provider Identifier
1235369299
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME125054 Issued in FL
Practice address
2815 S Seacrest Blvd
Bethesda Health
Boynton Beach, FL 33435-7969
Phone
(561) 374-5720
Fax
(561) 374-5717
NPI assigned
Jul 23, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME125054 FL Primary

Addresses

Primary practice location

2815 S Seacrest Blvd
Bethesda Health
Boynton Beach, FL 33435-7969

Mailing address

2815 S Seacrest Blvd
Bethesda Health
Boynton Beach, FL 33435-7969
Phone (561) 374-5720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20181022002274 NY Practitioner - Cardiac Surgery 9537463047 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Surgery
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Services of Manhattan PLLCGroup PAC ID 2567735152, 13 clinicians

Practice addresses (Care Compare)

290 Madison Ave
FL 2
New York, NY 10017-6375
Phone (212) 518-4562

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal72

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Services of Manhattan, PLLC CurrentSince Oct 1, 2018 Accepting new patients
Mni Medical Services, PLLC CurrentSince Jun 1, 2020 Accepting new patients
Pain Doctors of America PLLC Past Accepting new patients
Vein Treatment NJ LLC Past Accepting new patients
Shore Medical Treatment PLLC Past Accepting new patients

Locations

2100 Bartow Ave
Ste 400
Bronx, NY 10475
Phone (212) 518-4563

188 Montague St
Fl 10
Brooklyn, NY 11201
Phone (631) 450-3772

10730 71st Rd
#204
Forest Hills, NY 11375
Phone (631) 450-3772

280 N Central Ave
Ste 450
Hartsdale, NY 10530
Phone (212) 518-4562

350 Jericho Tpke
Ste 1A
Jericho, NY 11753
Phone (212) 518-4562

244 Madison Ave
#1120
New York, NY 10016
Phone (301) 523-8458

244 Madison Ave
#1100
New York, NY 10016

41 Park Ave
Apt 1C
New York, NY 10016
Phone (561) 498-3248

156 William St
Rm 302
New York, NY 10038
Phone (212) 518-4562

290 Madison Ave
Fl 2
New York, NY 10017
Phone (212) 518-4562

70 N Country Rd
Ste 201
Prt Jefferson, NY 11777
Phone (631) 331-0200

500 Montauk Hwy
Ste G
West Islip, NY 11795
Phone (212) 518-4562

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.

NPI Registry JSON

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1235369299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 S SEACREST BLVD",
            "address_2": "BETHESDA HEALTH",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357969",
            "telephone_number": "561-374-5720",
            "fax_number": "561-374-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 S SEACREST BLVD",
            "address_2": "BETHESDA HEALTH",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334357969",
            "telephone_number": "561-374-5720",
            "fax_number": "561-374-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTOYA",
        "first_name": "JUAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-23",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME125054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.