Active NPI
Pasquale X. Montesano, M.D.
- Orthopaedic Surgery of the Spine Physician
- Palm Beach Gardens, FL
National Provider Identifier
1992814743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- ME85035
- Practice address
- 11000 Prosperity Farms Rd
Suite 102
Palm Beach Gardens, FL 33410-3462 - Phone
- (561) 833-4869
- Fax
- (561) 833-4872
- NPI assigned
- Aug 29, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | G49341 | CA | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | ME85035 | FL | Primary |
Addresses
Primary practice location
11000 Prosperity Farms Rd
Suite 102
Palm Beach Gardens, FL 33410-3462
Mailing address
11000 Prosperity Farms Rd
Suite 102
Palm Beach Gardens, FL 33410-3462
Phone (561) 833-4869
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G493410 | Other | CA | BLUE SHIELD |
| 00G493410 | Medicaid | CA | |
| 200012725 | Other | CA | RAILROAD MEDICARE |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G49341 | CA | MD | Orthopaedic Surgery of the Spine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418688000000",
"number": "1992814743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11000 PROSPERITY FARMS RD",
"address_2": "SUITE 102",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334103462",
"telephone_number": "561-833-4869",
"fax_number": "561-833-4872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11000 PROSPERITY FARMS RD",
"address_2": "SUITE 102",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334103462",
"telephone_number": "561-833-4869",
"fax_number": "561-833-4872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTESANO",
"first_name": "PASQUALE",
"middle_name": "X.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2014-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "CA",
"license": "G49341",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "FL",
"license": "ME85035",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00G493410",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G493410",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "200012725",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.