Matthew Raymond Montenero, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02707500 Issued in NJ

Practice address

301 N Harrison St Ste F
Princeton, NJ 08540

Phone

(609) 924-0796

NPI assigned

Mar 8, 2017

Last updated

Sep 12, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• PA Dental LLC

  dba Mercer Smiles Family Dentistry

  • Dentist
  • Robbinsville, NJ
  • NPI 1295249456
  NPD (past)

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1548700669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N HARRISON ST STE F",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085403527",
            "telephone_number": "609-924-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N HARRISON ST STE F",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "08540",
            "telephone_number": "609-924-0796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Executive Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Monmouth Junction",
            "state": "NJ",
            "postal_code": "088522446",
            "country_code": "US",
            "telephone_number": "732-422-8668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Bay Ave",
            "address_purpose": "LOCATION",
            "city": "Montclair",
            "state": "NJ",
            "postal_code": "07042",
            "country_code": "US",
            "telephone_number": "732-330-4833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 N Harrison St Ste F",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "NJ",
            "postal_code": "08540",
            "country_code": "US",
            "telephone_number": "609-924-0796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTENERO",
        "first_name": "MATTHEW",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-08",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02707500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alberto Molina, ABI
• Lauren Molinelli, ATC, PT, DPT
• Shawn E Mollin, PT
• Jennifer Monga, RN
• Kay M Monkhouse, PH.D.
• Montgomery Behavioral Healthcare P.C.
• Montgomery Internal Medicine Group PC
• Montgomery Pediatric Dentistry
• Anissa L Moody, PH.D.
• Moonstone Therapy and Wellness

• Dentist in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; 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.