Vicenta Maria Montgomery I, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

1 Columbia St
Dra Imaging, PC
Poughkeepsie, NY 12601-3923

Phone

(845) 454-4700

Fax

(845) 790-5719

NPI assigned

Oct 22, 2008

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 names 1

• Miss Vicenta Maria Birthright Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Dra Imaging, PC

  • Diagnostic Radiology Physician
  • Poughkeepsie, NY
  • NPI 1477525061
  NPD (past)

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1346492238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 ROCKLAND ROAD",
            "address_2": "DEPARTMENT OF NEUROLOGY",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19899",
            "telephone_number": "302-651-5930",
            "fax_number": "302-651-5967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COLUMBIA ST",
            "address_2": "DRA IMAGING, PC",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013923",
            "telephone_number": "845-454-4700",
            "fax_number": "845-790-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "VICENTA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "name_suffix": "I",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-22",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "DE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICENTA",
            "last_name": "BIRTHRIGHT",
            "middle_name": "MARIA",
            "prefix": "MISS",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Barbara L. Monaco, LCSW-R
• Daniel Thomas Monahan, PA
• Linda C. Monkman, LCSW
• Kathleen S. Montana, LCSW
• Melanie Michelle Montemayor, MD
• Briana Montilla, LPN
• Kristin Montini, MSW
• Montrose Vamc
• Ellen Elizabeth Moore, M.S.; CCC-SLP
• Gwendolyn L Moore

• Medical Physician Assistant in Poughkeepsie, NY
• Providers in Poughkeepsie, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.