Individual provider Active NPI

Nicholas John Montemurro, M.D

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Massapequa, NY
National Provider Identifier
1518311729
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
294423 Issued in NY
Practice address
5500 Merrick Rd
Massapequa, NY 11758-6231
Phone
(516) 795-3033
Fax
(516) 654-9358
NPI assigned
Apr 14, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD.42644 AL
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X MD.42644 AL
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 294423 NY Primary

Addresses

Primary practice location

5500 Merrick Rd
Massapequa, NY 11758-6231

Mailing address

115 Eileen Way
Syosset, NY 11791-5302
Phone (516) 795-3033

Other practice location 1

2103 Deer Park Ave
Deer Park, NY 11729-1317
Phone (516) 795-3033

Other practice location 2

115 Eileen Way
Syosset, NY 11791-5302
Phone (516) 795-3033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210615003688 AL Practitioner - Orthopedic Surgery 3173923935 Reassigns benefits to 1 organization
I20220712002473 NY Practitioner - Orthopedic Surgery 3173923935 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
New York Medical College, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nassau Health Care CorporationGroup PAC ID 2961315221, 179 clinicians

Practice addresses (Care Compare)

2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone (516) 486-6862

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.46 of 100Reported as group
Quality
57.32
Promoting interoperability
84
Improvement activities
40
Cost
80.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Spinal fusion1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)14
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.42644ALMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau Health Care Corporation CurrentSince May 21, 2024 Accepting new patients
STV Sports Medicine & Orthopedics LLC Orthopaedic Surgery CurrentSince Aug 1, 2021 Accepting new patients
STV Sports Medicine & Orthopedics LLC Orthopaedic Surgery CurrentSince Aug 1, 2021 Accepting new patients
Nassau Health Care Corporation Current Accepting new patients
Orthopaedics Spine and Sports Medicine LLC CurrentSince Aug 8, 2022 Accepting new patients
Orthopaedics Spine and Sports Medicine, LLC Orthopaedic Surgery Current Accepting new patients
Nassau Health Care Corporation CurrentSince May 21, 2024 Accepting new patients
Orthopaedics Spine and Sports Medicine LLC Orthopaedic Surgery CurrentSince Aug 8, 2022 Accepting new patients

Locations

805 Saint Vincents Dr
Ste 100
Birmingham, AL 35205

7201 Happy Hollow Rd
Ste 202A
Trussville, AL 35173

2103 Deer Park Ave
Deer Park, NY 11729
Phone (631) 242-4500

2339 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 520-3053

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

5500 Merrick Rd
Massapequa, NY 11758
Phone (516) 798-3789

115 Eileen Way
Syosset, NY 11791
Phone (516) 622-9797

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: nicholasmontemurro@ossm.allscriptsdirect.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1518311729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 EILEEN WAY",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117915302",
            "telephone_number": "516-795-3033",
            "fax_number": "516-654-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 MERRICK RD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586231",
            "telephone_number": "516-795-3033",
            "fax_number": "516-654-9358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2103 Deer Park Ave",
            "address_purpose": "LOCATION",
            "city": "Deer Park",
            "state": "NY",
            "postal_code": "117291317",
            "country_code": "US",
            "telephone_number": "516-795-3033",
            "fax_number": "516-654-9358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Eileen Way",
            "address_purpose": "LOCATION",
            "city": "Syosset",
            "state": "NY",
            "postal_code": "117915302",
            "country_code": "US",
            "telephone_number": "516-795-3033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTEMURRO",
        "first_name": "NICHOLAS",
        "middle_name": "JOHN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-14",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "MD.42644",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "AL",
            "license": "MD.42644",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NY",
            "license": "294423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

Verify at the official NPI Registry.