Leslie Montgomery

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

1500 Noble Ave
Apt 10C
Bronx, NY 10460-3107

Phone

(347) 431-2880

NPI assigned

Sep 30, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Stephanie Montgomery Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475193600000",
    "number": "1306395363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1466 BEACH AVE APT 12A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104603622",
            "telephone_number": "347-431-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 NOBLE AVE",
            "address_2": "APT 10C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104603107",
            "telephone_number": "347-431-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "LESLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-30",
        "last_updated": "2016-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DURABLE MEDICAL EQUIPMENT SUPPLIER",
            "identifier": "814016687",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "MONTGOMERY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ana E Montesdeoca
• Maria Eulalia Montesdeoca
• Miroslava Montesdeoca, OTR/L
• Adjoa Montford, FNP-ANCC
• Darnae Montgomery, MSW
• Roselyn J Montgomery, REGISTERED NURSE
• Sarah Montgomery, MS, CCC-SLP
• Waltra Montgomery
• Dallin Cole Montierth, DDS
• Elilary Montilla Medrano, MD

• Contractor in Bronx, NY
• Providers in Bronx, NY by specialty
• Contractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.