Active NPI
Richard M Montag, DPM
- Podiatrist
- Melville, NY
National Provider Identifier
1790799914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- N002288
- Practice address
- 6 Munson CT
Melville, NY 11747-1633 - Phone
- (516) 236-3002
- Fax
- (631) 824-6476
- NPI assigned
- Jul 27, 2006
- Last updated
- Feb 2, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | N002288 | NY | Primary |
Addresses
Primary practice location
6 Munson CT
Melville, NY 11747-1633
Mailing address
6 Munson CT
Melville, NY 11747-1633
Phone (516) 236-3002
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422835200000",
"number": "1790799914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 MUNSON CT",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117471633",
"telephone_number": "516-236-3002",
"fax_number": "631-824-6476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 MUNSON CT",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117471633",
"telephone_number": "516-236-3002",
"fax_number": "631-824-6476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTAG",
"first_name": "RICHARD",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2015-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "N002288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.