Active NPI
Eduardo Montes, MD
- Internal Medicine Physician
- North Bergen, NJ
National Provider Identifier
1598832016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA04947900
- Practice address
- 8701 Bergenline Ave
North Bergen, NJ 07047-5252 - Phone
- (201) 861-2442
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA04947900 | NJ | Primary |
Addresses
Primary practice location
8701 Bergenline Ave
North Bergen, NJ 07047-5252
Mailing address
345 Lake St
Upper Saddle River, NJ 07458-1751
Phone (201) 236-3910
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18Y81 | Other | NJ | EMPIRE BLUE CROSS BLUE SH |
| 223105991-001 | Other | SELF INSURED SERVICES | |
| S53K1 | Other | NJ | EMPIRE BCBSNJ |
| 78022231059910 | Other | NJ | HORIZON BCBSNJ |
| 2508202 | Other | AETNA | |
| 223105991-0003 | Other | CIGNA | |
| USA899999 | Other | BLUE SHIELD OF CALIFORNIA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA04947900 | NJ | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598832016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 LAKE ST",
"city": "UPPER SADDLE RIVER",
"state": "NJ",
"postal_code": "074581751",
"telephone_number": "201-236-3910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8701 BERGENLINE AVE",
"city": "NORTH BERGEN",
"state": "NJ",
"postal_code": "070475252",
"telephone_number": "201-861-2442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTES",
"first_name": "EDUARDO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA04947900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BLUE CROSS BLUE SH",
"identifier": "18Y81",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELF INSURED SERVICES",
"identifier": "223105991-001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBSNJ",
"identifier": "S53K1",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON BCBSNJ",
"identifier": "78022231059910",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2508202",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "223105991-0003",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CALIFORNIA",
"identifier": "USA899999",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in North Bergen, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.