Active NPI
Robert L Montalbano, MD
- Emergency Medicine Physician
- Bayonne, NJ
National Provider Identifier
1407879976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MA55159
- Practice address
- 29 E 29TH St
Bayonne, NJ 07002-4654 - Phone
- (856) 616-8100
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MA55159 | NJ | Primary |
Addresses
Primary practice location
29 E 29TH St
Bayonne, NJ 07002-4654
Mailing address
PO Box 5075
Cherry Hill, NJ 08034-5075
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6918603 | Medicaid | NJ | |
| 20197 | Other | NJ | UHP NON PAR # |
| P00477765 | Other | NJ | RR MCR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA55159 | NJ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ijkg Opco LLC | Current | Accepting new patients | |
| Kenneth Faistl, MD,PA | Past | Accepting new patients |
Locations
29 E 29th St
Bayonne, NJ 07002
Phone (201) 585-5000
Interoperability endpoints
- robert.montalbano@direct.bayonnemedicalcenter.md
Organizations & group practices 2
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.
-
- Skilled Nursing Facility
- Bayonne, NJ
- NPI 1437356755
-
- Family Medicine Physician
- Freehold, NJ
- NPI 1942277223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244505600000",
"number": "1407879976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5075",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080345075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 E 29TH ST",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070024654",
"telephone_number": "856-616-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTALBANO",
"first_name": "ROBERT",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2009-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "MA55159",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6918603",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHP NON PAR #",
"identifier": "20197",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR",
"identifier": "P00477765",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bayonne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.