NPIMap

Organization Active NPI

Gregory Montalbano MD,PLLC

  • Specialist
  • Staten Island, NY
National Provider Identifier
1871764423
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
198286 Issued in NY
Legal business name
GREGORY MONTALBANO MD,PLLC
Practice address
82 Lamberts LN
Staten Island, NY 10314-7210
Phone
(718) 477-5479
Fax
(718) 761-1770
NPI assigned
Mar 21, 2008
Last updated
Feb 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Authorized official

Name
Dr. Gregory Montalbano, MDNPI 1487654273
Title
Officer
Phone
(718) 477-5479

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 198286 NY Primary

Addresses

Primary practice location

82 Lamberts LN
Staten Island, NY 10314-7210

Mailing address

82 Lamberts LN
Staten Island, NY 10314-7210
Phone (718) 477-5479

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150706000353 NJ Part B Supplier - Clinic/Group Practice 7517079569 Receives reassigned benefits from 2 practitioners
Practice locations: South Amboy, NJ
O20250509002460 NY Part B Supplier - Clinic/Group Practice 7517079569 Receives reassigned benefits from 8 practitioners
Practice locations: Staten Island, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361232000000",
    "number": "1871764423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 LAMBERTS LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103147210",
            "telephone_number": "718-477-5479",
            "fax_number": "718-761-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 LAMBERTS LN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103147210",
            "telephone_number": "718-477-5479",
            "fax_number": "718-761-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY MONTALBANO MD,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2013-02-19",
        "status": "A",
        "authorized_official_last_name": "MONTALBANO",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "718-477-5479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "198286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.