Individual provider Active NPI

Robert Patrick Montalbano, P.T.

  • Physical Therapist
  • Teaneck, NJ
National Provider Identifier
1720146715
Registry record updated Apr 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00971900 Issued in NJ
Practice address
407 Cedar LN
Teaneck, NJ 07666-1708
Phone
(201) 894-9900
Fax
(201) 894-9951
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00971900 NJ Primary

Addresses

Primary practice location

407 Cedar LN
Teaneck, NJ 07666-1708

Mailing address

143 Cupsaw Ave
Ringwood, NJ 07456-2947
Phone (201) 755-5439

Other practice location 1

2 Dean Dr
Lower Level
Tenafly, NJ 07670-2765
Phone (201) 894-9900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070613000075 NJ Practitioner - Physical Therapist in Private Practice 3678671799 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
40QA00971900NJMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Montalbano Physical Therapy, PC Physical Therapist CurrentSince Jan 8, 2007 Accepting new patients

Locations

407 Cedar Ln
Teaneck, NJ 07666
Phone (201) 894-9900

2 Dean Dr
Lowr
Tenafly, NJ 07670
Phone (201) 592-7246

2 Dean Dr
Tenafly, NJ 07670
Phone (201) 568-8288

Organizations & group practices 1

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648857600000",
    "number": "1720146715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 CUPSAW AVE",
            "city": "RINGWOOD",
            "state": "NJ",
            "postal_code": "074562947",
            "telephone_number": "201-755-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 CEDAR LN",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661708",
            "telephone_number": "201-894-9900",
            "fax_number": "201-894-9951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Dean Dr",
            "address_2": "Lower Level",
            "address_purpose": "LOCATION",
            "city": "Tenafly",
            "state": "NJ",
            "postal_code": "076702765",
            "country_code": "US",
            "telephone_number": "201-894-9900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTALBANO",
        "first_name": "ROBERT",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2022-04-02",
        "certification_date": "2022-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00971900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2022; 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.