Individual provider Active NPI

Robert Montemurno, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rutherford, NJ
National Provider Identifier
1790837623
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DD9524 Issued in NJ
Practice address
47 Orient Way
Rutherford, NJ 07070-2082
Phone
(201) 935-8550
Fax
(201) 935-4793
NPI assigned
Jan 18, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DD9524 NJ Primary

Addresses

Primary practice location

47 Orient Way
Rutherford, NJ 07070-2082

Mailing address

47 Orient Way
Rutherford, NJ 07070-2082
Phone (201) 935-8550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150615000104 NJ Order and Referring Only - DentistPractitioner - Dentist 1254642531

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DD9524NJMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790837623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 ORIENT WAY",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702082",
            "telephone_number": "201-935-8550",
            "fax_number": "201-935-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 ORIENT WAY",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702082",
            "telephone_number": "201-935-8550",
            "fax_number": "201-935-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEMURNO",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NJ",
            "license": "DD9524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherford, NJ

Sources for this page

Verify at the official NPI Registry.