Individual provider Active NPI

Vanessa D Montanez, ANP

  • Nurse Practitioner
  • Passaic, NJ
National Provider Identifier
1679988935
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00500400 Issued in NJ
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

Updated by the provider on Jun 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
26NJ00500400NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.