Koren Montalbano, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA0920000 Issued in NJ

Practice address

407 Cedar LN
Teaneck, NJ 07666-1708

Phone

(201) 894-9900

Fax

(201) 894-9951

NPI assigned

Sep 20, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Quest Physical Therapy

  • Physical Therapist
  • Ramsey, NJ
  • NPI 1538293832
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1871690107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 CUPSAW AVE",
            "city": "RINGWOOD",
            "state": "NJ",
            "postal_code": "074562947",
            "telephone_number": "201-818-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 CEDAR LN",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661708",
            "telephone_number": "201-894-9900",
            "fax_number": "201-894-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALBANO",
        "first_name": "KOREN",
        "name_prefix": "Mrs.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA0920000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosanna Modesto, MD
• Jason Andrew Mogul
• Shareema Meena Mohammed, MD
• Doreen Nicole Monroe, LSW
• Montalbano Physical Therapy, PC
• Robert Patrick Montalbano, P.T.
• Djhoana Montemayor Mateo, PHYSICAL THERAPIST
• Amber Marie Montes
• Judith Morales, MSW
• Mamekraa Morales

• Physical Therapist in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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.