Organization Active NPI

Montrace NP in Adult Health PLLC

  • Clinic/Center
  • Jamaica, NY
National Provider Identifier
1700748530
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MONTRACE NP IN ADULT HEALTH PLLC
Practice address
9043 Springfield Blvd
Jamaica, NY 11428-1352
Phone
(718) 702-1291
Fax
(631) 850-6884
NPI assigned
Dec 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Authorized official

Name
Montrace Alves-Richard, AGNPNPI 1194050609
Title
Owner
Phone
(347) 647-8039

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

9043 Springfield Blvd
Jamaica, NY 11428-1352

Mailing address

9043 Springfield Blvd
Jamaica, NY 11428-1352
Phone (718) 702-1291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251210000875 NY Part B Supplier - Clinic/Group Practice 8325532179 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond Hill, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1700748530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9043 SPRINGFIELD BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114281352",
            "telephone_number": "718-702-1291",
            "fax_number": "631-850-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9043 SPRINGFIELD BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114281352",
            "telephone_number": "718-702-1291",
            "fax_number": "631-850-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTRACE NP IN ADULT HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-01",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "ALVES-RICHARD",
        "authorized_official_first_name": "MONTRACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-647-8039",
        "authorized_official_credential": "AGNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.