Individual provider Active NPI

Edward Montoya, DPM

  • Foot & Ankle Surgery Podiatrist
  • Elizabeth, NJ
National Provider Identifier
1396983037
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
25MD00299600 Issued in NJ
Practice address
300 Washington Ave
Elizabeth, NJ 07202-3317
Phone
(908) 275-7882
Fax
(908) 264-0772
NPI assigned
Feb 3, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00299600 NJ Primary

Addresses

Primary practice location

300 Washington Ave
Elizabeth, NJ 07202-3317

Mailing address

300 Washington Ave
Elizabeth, NJ 07202-3317
Phone (908) 275-7882

Other practice location 1

1508 Village Oak Ln
Kissimmee, FL 34746-6558
Phone (908) 275-7882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20090727000248 NJ Practitioner - Podiatry 6204989080 Receives reassigned benefits from 2 practitioners
Practice locations: Colonia, NJ; Perth Amboy, NJ; Passiac, NJ; Elizabeth, NJ
I20210901002578 FL Practitioner - Podiatry 6204989080 Reassigns benefits to 1 organization
O20110205000086 NJ DME Supplier - Physician - Podiatry 2860688876 Practice locations: Elizabeth, NJ
O20130820000010 NJ DME Supplier - Physician - Podiatry 2860688876 Practice locations: Passaic, NJ
O20170913004051 NJ DME Supplier - Physician - Podiatry 2860688876 Practice locations: Perth Amboy, NJ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

300 Washington Ave
Elizabeth, NJ 07202-3317
Phone (908) 275-7882

800 N Rose Ave
Suite 806
Kissimmee, FL 34741-4944
Phone (732) 680-9600

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue15
Removal of skin lesions149
Removal of nail tissue76
Removal or shaving of skin growth35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Montoya Podiatry Center, LLC CurrentSince Sep 1, 2021 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Brice Medical Center,Inc PastSince Nov 19, 2008 Accepting new patients
Jason E Hagman DC PC PastSince Mar 1, 2007 Accepting new patients
Dream Physicians PastSince Jul 1, 2013 Accepting new patients
Icare Internal Medicine Past Accepting new patients

Locations

806 N Rose Ave
Kissimmee, FL 34741
Phone (407) 483-3376

800 N Rose Ave
Ste 806
Kissimmee, FL 34741
Phone (732) 680-9600

1508 Village Oak Ln
Kissimmee, FL 34746
Phone (407) 518-7747

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: emontoya299439@orlandohealth.medalliesdirect.net

Practitioners & affiliated clinicians

Practitioners 2

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

Organizations & group practices 6

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": "1233619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1396983037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WASHINGTON AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023317",
            "telephone_number": "908-275-7882",
            "fax_number": "908-264-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WASHINGTON AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072023317",
            "telephone_number": "908-275-7882",
            "fax_number": "908-264-0772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1508 Village Oak Ln",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347466558",
            "country_code": "US",
            "telephone_number": "908-275-7882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTOYA",
        "first_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-03",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00299600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

Verify at the official NPI Registry.