Karyn M Montgomery, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

81692 Issued in MA

Practice address

495 Jack Martin Blvd
Suite 5
Brick, NJ 08724-7778

Phone

(732) 458-8000

NPI assigned

Aug 27, 2006

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

Electronic endpoints 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/2624/brand/1/csg/1/fhir/r4
• Direct secure messaging: karyn.montgomery.1@2624.direct.athenahealth.com

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.

• Jersey Coast Family Medicine LLC

  • Family Medicine Physician
  • Brick, NJ
  • NPI 1750564209
  NPD

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1811005135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 JACK MARTIN BLVD",
            "address_2": "SUITE 5",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247778",
            "telephone_number": "732-458-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 JACK MARTIN BLVD",
            "address_2": "SUITE 5",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087247778",
            "telephone_number": "732-458-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "KARYN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-27",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "81692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "karyn.montgomery.1@2624.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "495 Jack Martin Blvd",
            "address_2": "Suite 5",
            "city": "Brick",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "087247778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Monmouth Healthcare Services
• Monmouth Healthcare Services, LLC
• Monmouth Infectious Disease Associates, LLC
• Monmouth Integrative Counseling of Brick, LLC
• Monmouth Ocean Medical Services, LLC
• David Francis Moore, M.D., PH.D., FAAN
• Ali R Moosvi, M.D.
• Graciela Maria Mora Mora, MASSAGE THERAPIST
• David Francisco Morales, MD
• Marylin Morales

• Internal Medicine Physician in Brick, NJ
• Providers in Brick, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.