Active NPI
Monte Lane Elgarten, MD
- General Practice Physician
- Orlando, FL
National Provider Identifier
1396917100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 156066
- Practice address
- 859 McCullough Ave Apt 514
Orlando, FL 32803-7256 - Phone
- (845) 258-8272
- NPI assigned
- Apr 1, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 156066 | NY | Primary |
Addresses
Primary practice location
859 McCullough Ave Apt 514
Orlando, FL 32803-7256
Mailing address
52 Horizon Farms Dr
Warwick, NY 10990-2260
Phone (845) 790-3371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 156066 | NY | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1396917100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 HORIZON FARMS DR",
"city": "WARWICK",
"state": "NY",
"postal_code": "109902260",
"telephone_number": "845-790-3371",
"fax_number": "845-790-1109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "859 MCCULLOUGH AVE APT 514",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328037256",
"telephone_number": "845-258-8272"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELGARTEN",
"first_name": "MONTE",
"middle_name": "LANE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-01",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NY",
"license": "156066",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.