Angella Montaque

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

312086 Issued in NY

Practice address

11518 174TH Street
Jamaica
Queens, NY 11434

Phone

(718) 757-0328

NPI assigned

Jun 1, 2015

Last updated

Jun 1, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433116800000",
    "number": "1740660166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11518 174TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114341848",
            "telephone_number": "718-757-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11518 174TH STREET",
            "address_2": "JAMAICA",
            "city": "QUEENS",
            "state": "NY",
            "postal_code": "11434",
            "telephone_number": "718-757-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTAQUE",
        "first_name": "ANGELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-01",
        "last_updated": "2015-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "312086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Swathi Radhakrishnan Menon, M.D.
• Andreas Mentz, R.PH
• MMC at Saratoga Interfaith Family Shelter
• MMC at Saratoga Interfaith Family Shelter
• Fabienne Mondelus, PA-C
• Jocelyn Morante-Larocca, RD
• Jose Alejandro Moreira Musa, M.D.
• Elizabeth Murdakhayev, MD
• Shagata Nath, PHARMD
• Sharon Allison Nelson, RN

• Licensed Practical Nurse in Queens, NY
• Providers in Queens, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; 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.