Individual provider Active NPI

Anthony John Montanarella, HCP

  • Hearing Instrument Specialist
  • Elmira, NY
National Provider Identifier
1477060952
Registry record updated Jan 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
14000019287 Issued in NY
Practice address
213 Prescott Ave
Elmira, NY 14903-1763
Phone
(607) 739-1993
NPI assigned
Jan 5, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 14000019287 NY Primary

Addresses

Primary practice location

213 Prescott Ave
Elmira, NY 14903-1763

Mailing address

33 W Hill St
Elmira, NY 14905-5102
Phone (607) 734-4878

Other identifiers 1

IdentifierTypeStateIssuer
14000019287OtherNYHCP

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

State licenses

LicenseStateTypeSpecialty
14000019287NYMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515110400000",
    "number": "1477060952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 W HILL ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149055102",
            "telephone_number": "607-734-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 PRESCOTT AVE",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149031763",
            "telephone_number": "607-739-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANARELLA",
        "first_name": "ANTHONY",
        "middle_name": "JOHN",
        "credential": "HCP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-05",
        "last_updated": "2018-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "NY",
            "license": "14000019287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCP",
            "identifier": "14000019287",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2018; 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.