Active NPI
Denise P Montroy, N.P.
- Family Nurse Practitioner
- Ogdensburg, NY
National Provider Identifier
1255518288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 320076
- Practice address
- 3 Lyon Place
Ogdensburg, NY 13669 - Phone
- (315) 394-7542
- Fax
- (315) 394-0015
- NPI assigned
- Jan 22, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 320076 | NY | Primary |
| Case Manager/Care Coordinator | 171M00000X | 6272016 | NY |
Addresses
Primary practice location
3 Lyon Place
Ogdensburg, NY 13669
Mailing address
3 Lyon Place
Ogdensburg, NY 13669
Phone (315) 394-7542
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6272016 | Other | NY | STATE OF NEW YORK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6272016 | NY | MD | Case Manager/Care Coordinator |
| 320076 | NY | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320624000000",
"number": "1255518288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 LYON PLACE",
"city": "OGDENSBURG",
"state": "NY",
"postal_code": "13669",
"telephone_number": "315-394-7542",
"fax_number": "315-394-0015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 LYON PLACE",
"city": "OGDENSBURG",
"state": "NY",
"postal_code": "13669",
"telephone_number": "315-394-7542",
"fax_number": "315-394-0015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTROY",
"first_name": "DENISE",
"middle_name": "P",
"name_prefix": "Ms.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-22",
"last_updated": "2011-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "320076",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NY",
"license": "6272016",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF NEW YORK",
"identifier": "6272016",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ogdensburg, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.