Active NPI
James R Montgomery IV, RD
- Registered Dietitian
- Asbury Park, NJ
National Provider Identifier
1821581869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 1105168
- Practice address
- 1201 Springwood Ave
Asbury Park, NJ 07712-6752 - Phone
- (267) 229-9535
- NPI assigned
- Jun 13, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 1105168 | PA | Primary |
Addresses
Primary practice location
1201 Springwood Ave
Asbury Park, NJ 07712-6752
Mailing address
1201 Springwood Ave Ste 104
Asbury Park, NJ 07712-6796
Phone (732) 539-3584
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1105168 | PA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634601600000",
"number": "1821581869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 SPRINGWOOD AVE STE 104",
"city": "ASBURY PARK",
"state": "NJ",
"postal_code": "077126796",
"telephone_number": "732-539-3584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 SPRINGWOOD AVE",
"city": "ASBURY PARK",
"state": "NJ",
"postal_code": "077126752",
"telephone_number": "267-229-9535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "JAMES",
"middle_name": "R",
"name_prefix": "Mr.",
"name_suffix": "IV",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-13",
"last_updated": "2021-10-19",
"certification_date": "2021-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "1105168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Asbury Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.