Individual provider Active NPI

Brett Edward Montreuil, R.N.

  • Registered Nurse
  • Dix Hills, NY
National Provider Identifier
1508135930
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
514110 Issued in NY
Practice address
14 Long Acre LN
Dix Hills, NY 11746-7926
Phone
(917) 476-6337
NPI assigned
Dec 13, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 514110 NY Primary

Addresses

Primary practice location

14 Long Acre LN
Dix Hills, NY 11746-7926

Mailing address

14 Long Acre LN
Dix Hills, NY 11746-7926
Phone (917) 476-6337

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
514110NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1508135930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 LONG ACRE LN",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117467926",
            "telephone_number": "917-476-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 LONG ACRE LN",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117467926",
            "telephone_number": "917-476-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTREUIL",
        "first_name": "BRETT",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "514110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dix Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.