NPIMap

Organization Active NPI

Montgomery Medical Associates LLC

  • Internal Medicine Physician
  • Belle Mead, NJ
National Provider Identifier
1366501462
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MB070954 Issued in NJ
Legal business name
MONTGOMERY MEDICAL ASSOCIATES LLC
Practice address
9 Dutchtown Harlingen Rd
Belle Mead, NJ 08502-5115
Phone
(908) 874-8883
Fax
(908) 874-3595
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

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

Authorized official

Name
Dr. Joseph J Pecora III, DONPI 1841204666
Title
President
Phone
(908) 874-8883

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MB070954 NJ Primary

Addresses

Primary practice location

9 Dutchtown Harlingen Rd
Belle Mead, NJ 08502-5115

Mailing address

9 Dutchtown Harlingen Rd
Belle Mead, NJ 08502-5115
Phone (908) 874-8883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070328000007 NJ Part B Supplier - Clinic/Group Practice 9638273816 Receives reassigned benefits from 9 practitioners
Practice locations: Belle Mead, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1366501462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 DUTCHTOWN HARLINGEN RD",
            "city": "BELLE MEAD",
            "state": "NJ",
            "postal_code": "085025115",
            "telephone_number": "908-874-8883",
            "fax_number": "908-874-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 DUTCHTOWN HARLINGEN RD",
            "city": "BELLE MEAD",
            "state": "NJ",
            "postal_code": "085025115",
            "telephone_number": "908-874-8883",
            "fax_number": "908-874-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY MEDICAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "PECORA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-874-8883",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MB070954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Mead, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.