NPIMap

Individual provider Active NPI

Justin Tyrone Montanye, MD

  • Neurology Physician
  • Meriden, CT
National Provider Identifier
1902992514
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
50013 Issued in CT
Practice address
455 Lewis Ave
Suite 221
Meriden, CT 06451
Phone
(203) 694-8550
Fax
(203) 694-7698
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 237982 NY
Neurology Physician 2084N0400X 50013 CT Primary

Addresses

Primary practice location

455 Lewis Ave
Suite 221
Meriden, CT 06451

Mailing address

455 Lewis Ave
Suite 221
Meriden, CT 06451
Phone (203) 694-8550

Other identifiers 1

IdentifierTypeStateIssuer
02883223MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110902000150 CT Practitioner - Neurology 0749373140 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Albany Medical College of Union University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

1 Towne Park PLZ
Norwich, CT 06360-2247
Phone (860) 886-1433

100 Grand St
New Britain, CT 06052-2016
Phone (860) 224-6623

Hospital & facility affiliations

  • The Hospital of Central Connecticut Hospital, New Britain, CT, CCN 070035
  • William W Backus Hospital Hospital, Norwich, CT, CCN 070024
  • Windham Community Memorial Hospital Hospital, Willimantic, CT, CCN 070021
  • Day Kimball Hospital Hospital, Putnam, CT, CCN 070003
  • Hartford Hospital Hospital, Hartford, CT, CCN 070025

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as group
Quality
83.66
Promoting interoperability
100
Improvement activities
40
Cost
66.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
50013CTMDNeurology Physician
237982NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Middlesex Hospital CurrentSince Aug 15, 2017 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Sep 15, 2019 Accepting new patients
Hartford Pathology Associates, P.C. Current Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC Neurology CurrentSince May 22, 2020 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Sep 15, 2019 Accepting new patients
Midstate Medical Center CurrentSince Oct 1, 2011 Accepting new patients
Hartford Hospital Neurology CurrentSince Aug 1, 2019 Accepting new patients
Middlesex Hospital Neurology CurrentSince Aug 15, 2017 Accepting new patients
Midstate Medical Center Current Accepting new patients
Hartford Hospital CurrentSince Aug 1, 2019 Accepting new patients
Middlesex Hospital CurrentSince Aug 15, 2017 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince May 22, 2020 Accepting new patients
Midstate Medical Center CurrentSince Oct 1, 2011 Accepting new patients
Midstate Medical Group, PC Neurology Past Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley Past Accepting new patients
Midstate Medical Group, PC Past Accepting new patients
Hartford Healthcare Medical Group, Inc Past Accepting new patients
Cayuga Neurologic Services LLP Neurology Past Accepting new patients

Locations

111 Goose Ln
Ste 1100
Guilford, CT 06437
Phone (203) 453-7100

85 Seymour St
Hartford, CT 06106
Phone (860) 246-4029

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

455 Lewis Ave
Ste 221
Meriden, CT 06451
Phone (203) 694-7595

80 S Main St
Ste 102
Middletown, CT 06457
Phone (860) 358-6878

534 Saybrook Rd
Middletown, CT 06457
Phone (860) 358-2500

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

1 Towne Park Plz
Norwich, CT 06360
Phone (860) 886-1433

98 Main St
Ste 306
Southington, CT 06489
Phone (860) 621-6704

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Interoperability endpoints

  • Direct secure messaging: justin.montanye@xdr.hhchealthdirect.org

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312848000000",
    "number": "1902992514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 LEWIS AVE",
            "address_2": "SUITE 221",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "06451",
            "telephone_number": "203-694-8550",
            "fax_number": "203-694-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 LEWIS AVE",
            "address_2": "SUITE 221",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "06451",
            "telephone_number": "203-694-8550",
            "fax_number": "203-694-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTANYE",
        "first_name": "JUSTIN",
        "middle_name": "TYRONE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2011-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "237982",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CT",
            "license": "50013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02883223",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meriden, CT

Sources for this page

Verify at the official NPI Registry.