Organization Active NPI

Montemurro OBGYN, LLC

  • Specialist
  • Cedar Grove, NJ
National Provider Identifier
1376945154
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA05893500 Issued in NJ
Legal business name
MONTEMURRO OBGYN, LLC
Practice address
1027 Pompton Ave FL 2
Cedar Grove, NJ 07009-1155
Phone
(973) 341-3434
Fax
(973) 341-3437
NPI assigned
Sep 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Authorized official

Name
Dr. Robert J Montemurro, MD
Title
Owner
Phone
(973) 341-3434

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X MA05893500 NJ Primary

Addresses

Primary practice location

1027 Pompton Ave FL 2
Cedar Grove, NJ 07009-1155

Mailing address

1027 Pompton Ave FL 2
Cedar Grove, NJ 07009-1155
Phone (973) 341-3434

Other identifiers 1

IdentifierTypeStateIssuer
6043208MedicaidNJ

National Provider Directory

National Provider Directory

Locations

1027 Pompton Ave
Ste 2
Cedar Grove, NJ 07009
Phone (973) 341-3434

NPI Registry JSON

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411430400000",
    "number": "1376945154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 POMPTON AVE FL 2",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091155",
            "telephone_number": "973-341-3434",
            "fax_number": "973-341-3437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 POMPTON AVE FL 2",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091155",
            "telephone_number": "973-341-3434",
            "fax_number": "973-341-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTEMURRO OBGYN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-09-23",
        "status": "A",
        "authorized_official_last_name": "MONTEMURRO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-341-3434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA05893500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6043208",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Grove, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.