Individual provider Active NPI

Melanie Michelle Montemayor, MD

  • Diagnostic Radiology Physician
  • Poughkeepsie, NY
National Provider Identifier
1699832469
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
1941231 Issued in NY
Practice address
241 North Rd
Radiology Associates of Poughkeepsie
Poughkeepsie, NY 12601-1154
Phone
(845) 471-5519
Fax
(845) 471-2928
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 1941231 NY Primary

Addresses

Primary practice location

241 North Rd
Radiology Associates of Poughkeepsie
Poughkeepsie, NY 12601-1154

Mailing address

12 Raymond Ave
Radiology Associates of Poughkeepsie
Poughkeepsie, NY 12603-2354
Phone (845) 471-5519

Other identifiers 1

IdentifierTypeStateIssuer
8270406MedicaidNJ

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

LicenseStateTypeSpecialty
1941231NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bronx Park Radiology Asst PC Diagnostic Radiology Past Accepting new patients
Peace Health Partners, PC Diagnostic Radiology Past Accepting new patients
Radiology Associates of Poughkeepsie PLLC Diagnostic Radiology Past Accepting new patients

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": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219104000000",
    "number": "1699832469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 RAYMOND AVE",
            "address_2": "RADIOLOGY ASSOCIATES OF POUGHKEEPSIE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032354",
            "telephone_number": "845-471-5519",
            "fax_number": "845-471-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 NORTH RD",
            "address_2": "RADIOLOGY ASSOCIATES OF POUGHKEEPSIE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011154",
            "telephone_number": "845-471-5519",
            "fax_number": "845-471-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEMAYOR",
        "first_name": "MELANIE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2008-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "1941231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8270406",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.