Individual provider Active NPI

Molly Montagano, APN

  • Pediatric Nurse Practitioner
  • Marlton, NJ
National Provider Identifier
1881471597
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
26NJ14915200 Issued in NJ
Practice address
301 Old Marlton Pike W
#1
Marlton, NJ 08053
Phone
(856) 988-9101
NPI assigned
Sep 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 26NJ14915200 NJ Primary

Addresses

Primary practice location

301 Old Marlton Pike W
#1
Marlton, NJ 08053

Mailing address

15 Blanchard Rd
Marlton, NJ 08053-2918
Phone (856) 834-0384

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231204000361 NJ Practitioner - Nurse Practitioner 2961850821 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare , LLC CurrentSince Nov 13, 2023 Accepting new patients
Advocare, LLC CurrentSince Nov 13, 2023 Accepting new patients
Advocare, LLC Past Accepting new patients

Locations

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

41 S Route 73
Ste 101
Hammonton, NJ 08037
Phone (609) 567-4900

301 Marlton Pike W
Ste 1
Marlton, NJ 08053
Phone (856) 988-9101

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

212 W Route 38
Ste 400
Moorestown, NJ 08057
Phone (856) 235-0264

25 Lindsley Dr
Ste 205
Morristown, NJ 07960
Phone (973) 993-8777

Interoperability endpoints

  • Direct secure messaging: molly.montagano@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1881471597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BLANCHARD RD",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532918",
            "telephone_number": "856-834-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 OLD MARLTON PIKE W",
            "address_2": "#1",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-988-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTAGANO",
        "first_name": "MOLLY",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-11-06",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "26NJ14915200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.