NICHOLAS J MONTELLO (NPI# 1184285751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184285751 |
| Entity Type | Individual |
| Full Name | NICHOLAS J MONTELLO |
| Credential | DNP FNP |
| Practice Address |
102 Race Track Rd Ste 1 Ticonderoga NY 12883-4004 |
| Mailing Address |
9 Carey Rd Queensbury NY 12804-7880 |
| Practice Telephone | 5185856708 |
| Practice Fax Number | 5185853260 |
| Mailing Telephone | 5187610300 |
| Mailing Fax Number | 5188242388 |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F345137 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740346857 | Nicholas A Montello | Psychologist | 491 Closter Dock Rd, Suite 3, Closter, NJ 07624-3129 | 2007-01-01 |
| Street Address |
102 RACE TRACK RD STE 1 |
| City | TICONDEROGA |
| State | NY |
| Zip Code | 12883-4004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649295254 | Ephraim E Back | Family Medicine | 102 Race Track Rd Ste 1, Ticonderoga, NY 12883 | 2006-07-13 |
| 1669032470 | Elizabeth Anderson | Nurse Practitioner | 102 Race Track Rd Ste 1, Ticonderoga, NY 12883-4004 | 2019-06-14 |
| 1770068371 | Loren M Allen | Nurse Practitioner | 102 Race Track Rd Ste 1, Ticonderoga, NY 12883-4004 | 2018-09-28 |
| 1992229595 | Janine N Gadjo | Nurse Practitioner | 102 Race Track Rd Ste 1, Ticonderoga, NY 12883-4004 | 2017-07-26 |
| 1356871909 | Nicole Robinson | Pediatrics | 102 Race Track Rd Ste 1, Ticonderoga, NY 12883-4004 | 2017-06-15 |
| 1447539507 | Kristin L Mack | Family Medicine | 102 Race Track Rd Ste 1, Ticonderoga, NY 12883 | 2011-08-08 |
| 1952449829 | Dennis S O'brien | Internal Medicine | 102 Race Track Rd Ste 1, Ticonderoga, NY 12883-4004 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528582822 | Walgreen Co | Pharmacy | 1161 Nys Route 9n, Ticonderoga, NY 12883 | 2017-07-28 |
| 1891233540 | Anne Kuhl | Specialist | 70 Lake George Ave, Ticonderoga, NY 12883 | 2017-02-02 |
| 1336697580 | Hayley Jean Woods | Pharmacist | 1161 Nys Rte 9n, Ticonderoga, NY 12883 | 2016-09-16 |
| 1962776153 | Linda L Leavens | Counselor | 166 Lord Howe St., Ticonderoga, NY 12883 | 2012-03-06 |
| 1093958084 | Diana J Eisenberg | Skilled Nursing Facility | 340 Burgoyne Road, Ticonderoga, NY 12883 | 2009-04-07 |
| 1386765881 | Dean Lewis Cook | Dentist | 3 Defiance St, Ticonderoga, NY 12883 | 2007-04-02 |
| 1902936941 | Susan B Malaney | Counselor | 5 Defiance Street, Ticonderoga, NY 12883 | 2007-03-07 |
| 1023182813 | Moses Ludington Hospital Pharmacy | Pharmacy | 1019 Wicker Street, Ticonderoga, NY 12883 | 2006-11-20 |
| 1336245083 | Ticonderoga Emergency Squad Inc | Ambulance | 118 Champlain Avenue, Ticonderoga, NY 12883 | 2006-09-16 |
| 1952319386 | Hudson Headwaters Health Network | Social Worker | 101 Adirondack Drive, Suite 2, Ticonderoga, NY 12883 | 2006-08-03 |
| Find all providers in zip 12883 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669032470 | Elizabeth Anderson | Nurse Practitioner | 102 Race Track Rd Ste 1, Ticonderoga, NY 12883-4004 | 2019-06-14 |
| 1770068371 | Loren M Allen | Nurse Practitioner | 102 Race Track Rd Ste 1, Ticonderoga, NY 12883-4004 | 2018-09-28 |
| 1992229595 | Janine N Gadjo | Nurse Practitioner | 102 Race Track Rd Ste 1, Ticonderoga, NY 12883-4004 | 2017-07-26 |
| 1174905004 | Francine Brett Bassett | Nurse Practitioner | 1019 Wicker St, Ticonderoga, NY 12883-1039 | 2015-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225880 | Aleksandr Gurgov | Nurse Practitioner | 740 E 9th St, Brooklyn, NY 11230-2202 | 2020-11-08 |
| 1437750171 | Dana Alberico Lonis | Nurse Practitioner | 246 Waldorf Pkwy, Syracuse, NY 13224-2118 | 2020-11-07 |
| 1396346136 | Amarachukwu U Egbujor | Nurse Practitioner | 565 Pine St, Brooklyn, NY 11208-3901 | 2020-11-06 |
| 1568063378 | Valerie Cantave | Nurse Practitioner | 152 Somerset Dr, Suffern, NY 10901-6904 | 2020-11-06 |
| 1366043259 | Lora Hong | Nurse Practitioner | 55 Underhill Rd, Scarsdale, NY 10583-1040 | 2020-11-05 |
| 1235730102 | Lane Marie Knight | Nurse Practitioner | 8145 Rapallo Way, Clay, NY 13041-8893 | 2020-11-05 |
| 1073114112 | Karen Liu | Nurse Practitioner | 154 Bay 35th St, Brooklyn, NY 11214-5308 | 2020-11-04 |
| 1871194027 | Wai Ying Chan | Nurse Practitioner | 659 Britton Ave, Staten Island, NY 10304-4463 | 2020-11-04 |
| 1063013258 | Iris Massiel Garcia | Nurse Practitioner | 2206 Dr Martin L King Jr Blvd, Bronx, NY 10453-1307 | 2020-11-04 |
| 1104427525 | Jeanine R Williams | Nurse Practitioner | 4213 Foster Ave, Brooklyn, NY 11203-5711 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
| City | TICONDEROGA |
| Zip Code | 12883 |
Please comment or provide details below to improve the information on NICHOLAS J MONTELLO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.