Individual provider Active NPI

Mary May Montenegro, FNP- BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Manahawkin, NJ
National Provider Identifier
1346895778
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
405740 Issued in NY
Practice address
601 Washington Ave Ste J
Manahawkin, NJ 08050-2861
Phone
(609) 497-4736
Fax
(609) 375-1800
NPI assigned
Aug 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00942400 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 405740 NY Primary
Family Nurse Practitioner 363LF0000X 26NJ00942400 NJ
Family Nurse Practitioner 363LF0000X 349159 NY

Addresses

Primary practice location

601 Washington Ave Ste J
Manahawkin, NJ 08050-2861

Mailing address

601 Washington Ave Ste J
Manahawkin, NJ 08050-2861
Phone (609) 467-4736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, 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
I20190830001714 NJ Practitioner - Nurse Practitioner 6800125790 Reassigns benefits to 2 organizations
I20250409000828 NY Practitioner - Nurse Practitioner 6800125790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nynj Psychiatric Associates LLCGroup PAC ID 2961689989, 38 clinicians

Practice addresses (Care Compare)

395 Grand St
Jersey City, NJ 07302-4238
Phone (201) 915-2835

Merit-based Incentive Payment System (MIPS)

Final score
87.66 of 100Reported as group
Quality
74.82
Improvement activities
40
Cost
71.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00942400NJMDFamily Nurse Practitioner
349159NYMDFamily Nurse Practitioner
405740NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Euthymia Mental Health Services Psychiatric/Mental Health CurrentSince Sep 15, 2024 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Mar 14, 2025 Accepting new patients
Nynj Psychiatric Associates LLC CurrentSince Sep 25, 2023 Accepting new patients
Grow Healthcare Group of New Jersey PC Psychiatric/Mental Health CurrentSince Jul 31, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

395 Grand St
Jersey City, NJ 07302
Phone (201) 915-2600

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

Organizations & group practices 4

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": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1346895778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 WASHINGTON AVE STE J",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502861",
            "telephone_number": "609-467-4736",
            "fax_number": "609-375-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 WASHINGTON AVE STE J",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080502861",
            "telephone_number": "609-497-4736",
            "fax_number": "609-375-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTENEGRO",
        "first_name": "MARY MAY",
        "credential": "FNP- BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-02",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00942400",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "405740",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00942400",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "349159",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manahawkin, NJ

Sources for this page

Verify at the official NPI Registry.