Individual provider Active NPI

Norma Jeanette Montiel, D.O.

  • Dermatology Physician
  • New Hyde Park, NY
National Provider Identifier
1265461537
Registry record updated Sep 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
219386-1 Issued in NY
Practice address
3 Delaware Dr
4 Proheath Plaza
New Hyde Park, NY 11042-1116
Phone
(516) 608-2830
Fax
(516) 622-6199
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 219386-1 NY Primary

Addresses

Primary practice location

3 Delaware Dr
4 Proheath Plaza
New Hyde Park, NY 11042-1116

Mailing address

3 Delaware Dr
4 Proheath Plaza
New Hyde Park, NY 11042-1116
Phone (516) 608-2830

Other names 1

  • Mrs. Norma Jeanette Montiel-Gelves Other name

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
I20060822000196 NY Practitioner - DermatologyPractitioner - Family Practice 0648273243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optum Medical Care PCGroup PAC ID 9931013240, 1,013 clinicians

Practice addresses (Care Compare)

3 Delaware Dr
Suite 202
New Hyde Park, NY 11042-1116
Phone (516) 622-6161

90 S Bedford Rd
Mount Kisco, NY 10549-3412
Phone (914) 241-1050

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
72.13
Promoting interoperability
91
Improvement activities
40
Cost
75.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions593
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy664

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
219386-1NYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Sep 1, 2022 Accepting new patients
Optum Medical Care, P.C. Dermatology CurrentSince Sep 1, 2022 Accepting new patients
Mount Kisco Medical Group Dermatology Past Accepting new patients

Locations

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

Philadelphia, PA 19195

Organizations & group practices 3

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254096000000",
    "number": "1265461537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 DELAWARE DR",
            "address_2": "4 PROHEATH PLAZA",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421116",
            "telephone_number": "516-608-2830",
            "fax_number": "516-622-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 DELAWARE DR",
            "address_2": "4 PROHEATH PLAZA",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421116",
            "telephone_number": "516-608-2830",
            "fax_number": "516-622-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTIEL",
        "first_name": "NORMA",
        "middle_name": "JEANETTE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2009-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "219386-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NORMA",
            "last_name": "MONTIEL-GELVES",
            "middle_name": "JEANETTE",
            "prefix": "MRS.",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.