Active NPI
Addison Montiel, RN
- Registered Nurse
- Bayside, NY
National Provider Identifier
1699564898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 874130-01
- Practice address
- 22215 Northern Blvd
Bayside, NY 11361-3678 - Phone
- (718) 225-1414
- NPI assigned
- May 5, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 874130-01 | NY | Primary |
Addresses
Primary practice location
22215 Northern Blvd
Bayside, NY 11361-3678
Mailing address
215 W 95TH St Apt 15K
New York, NY 10025-6357
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 874130-01 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746403200000",
"number": "1699564898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 W 95TH ST APT 15K",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100256357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22215 NORTHERN BLVD",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113613678",
"telephone_number": "718-225-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTIEL",
"first_name": "ADDISON",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-05",
"last_updated": "2025-05-05",
"certification_date": "2025-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "874130-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.