Individual provider Active NPI

Christopher Montanaro, D.C.

  • Family Nurse Practitioner
  • Liverpool, NY
National Provider Identifier
1285833145
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
349482 Issued in NY
Practice address
106 Metropolitan Park Dr
Liverpool, NY 13088-5779
Phone
(315) 451-1152
Fax
(315) 451-1153
NPI assigned
Jul 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X010992-1 NY
Family Nurse Practitioner 363LF0000X 349482 NY Primary

Addresses

Primary practice location

106 Metropolitan Park Dr
Liverpool, NY 13088-5779

Mailing address

106 Metropolitan Drive
Liverpool, NY 13088
Phone (315) 451-1152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050523000713 NY Practitioner - Chiropractic 6204878028 Reassigns benefits to 1 organization
I20231213003633 NY Practitioner - Nurse Practitioner 6204878028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Syracuse Community Health Center IncGroup PAC ID 0143121327, 29 clinicians

Practice addresses (Care Compare)

819 S Salina St
Syracuse, NY 13202-3527
Phone (315) 476-7921

930 S Salina St
Syracuse, NY 13202-3530
Phone (315) 234-5985

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X010992-1NYMDChiropractor
349482NYMDLicensed Practical Nurse
010992NYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Montanaro Chiropractic P.C. Chiropractor CurrentSince Jul 4, 2021 Accepting new patients
Syracuse Community Health Center CurrentSince Apr 28, 2024 Accepting new patients
Chiropractic & Family Health NP, PLLC Family CurrentSince Jul 1, 2022 Accepting new patients
Syracuse Community Health Center, Inc. CurrentSince Apr 28, 2024 Accepting new patients
Upstate Family Health Center Incorporated CurrentSince May 29, 2021 Accepting new patients

Locations

106 Metropolitan Park Dr
Liverpool, NY 13088
Phone (315) 430-0122

205 W Dominick St
Ste A
Rome, NY 13440
Phone (315) 219-6354

819 S Salina St
Syracuse, NY 13202

930 S Salina St
Syracuse, NY 13202
Phone (315) 234-5960

Interoperability endpoints

  • Direct secure messaging: cmontanaro695419@direct.ochin.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: christopher.montanaro.p1@direct.schcny.nextgenshare.com

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": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1285833145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 METROPOLITAN DRIVE",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "13088",
            "telephone_number": "315-451-1152",
            "fax_number": "315-451-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 METROPOLITAN PARK DR",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130885779",
            "telephone_number": "315-451-1152",
            "fax_number": "315-451-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANARO",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010992-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "349482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

Verify at the official NPI Registry.