Active NPI
Vanessa D Montanez, ANP
- Nurse Practitioner
- Passaic, NJ
National Provider Identifier
1679988935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NJ00500400
- Practice address
- 298 Passaic Street
Passaic Pediatrics PA
Passaic, NJ 07055-1009 - Phone
- (973) 249-8100
- Fax
- (973) 249-8110
- NPI assigned
- Jun 25, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ00500400 | NJ | Primary |
Addresses
Primary practice location
298 Passaic Street
Passaic Pediatrics PA
Passaic, NJ 07055-1009
Mailing address
1014 Maple Ave
Ridgefield, NJ 07657-1009
Phone (973) 249-8100
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00500400 | NJ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Passaic Pediatrics PA | Current | Accepting new patients | |
| Passaic Pediatrics PA | Current | Accepting new patients | |
| Passaic Pediatrics II PA | Past | Accepting new patients |
Locations
298 Passaic St
Passaic, NJ 07055
Phone (973) 249-8100
200 Gregory Ave
#2
Passaic, NJ 07055
200 Gregory Ave
Passaic, NJ 07055
Phone (973) 473-1970
Interoperability endpoints
- vanessa.montanez@passaicpeds.eclinicaldirectplus.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Passaic, NJ
- NPI 1326383076
-
- Pediatrics Physician
- Passaic, NJ
- NPI 1942384888
-
- Pediatrics Physician
- Passaic, NJ
- NPI 1942256342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403654400000",
"number": "1679988935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1014 MAPLE AVE",
"city": "RIDGEFIELD",
"state": "NJ",
"postal_code": "076571009",
"telephone_number": "973-249-8100",
"fax_number": "973-249-8110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "298 PASSAIC STREET",
"address_2": "PASSAIC PEDIATRICS PA",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070551009",
"telephone_number": "973-249-8100",
"fax_number": "973-249-8110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTANEZ",
"first_name": "VANESSA",
"middle_name": "D",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-25",
"last_updated": "2014-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ00500400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Passaic, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.