KIMBERLY MONTELONE (NPI# 1336401520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336401520 |
| Entity Type | Individual |
| Full Name | KIMBERLY MONTELONE |
| Credential | NP |
| Practice Address |
2537 Route 9 Suite 203 Malta NY 12020-2442 |
| Practice Telephone | 5182892400 |
| Practice Fax Number | 5182892410 |
| Mailing Telephone | 5182892400 |
| Mailing Fax Number | 5182892410 |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2018-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F337315 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03465309 | 05 | |
| NY | MEDICARE | J400415191 | 01 |
| Street Address |
2537 ROUTE 9 SUITE 203 |
| City | MALTA |
| State | NY |
| Zip Code | 12020-2442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184691842 | Suzanne Palmieri | Family Medicine | 2537 Route 9, Malta, NY 12020 | 2006-03-02 |
| 1881174381 | Ellis Hospital | Clinic/Center | 2537 Route 9, Suite 203, Malta, NY 12020 | 2018-08-15 |
| 1629489281 | Courtney Diamond | Nurse Practitioner | 2537 Route 9, Suite 203, Malta, NY 12020 | 2014-05-16 |
| 1164864641 | Capital Region Primary Care Pllc | Family Medicine | 2537 Route 9, Malta, NY 12020-4328 | 2013-07-24 |
| 1366793101 | Kenneth Schwartz Md | Family Medicine | 2537 Route 9, Suite 203, Malta, NY 12020 | 2012-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811529415 | Peter Joseph Valastro Jr. | Registered Nurse | 2452 Us Rt 9 Suite 206, Malta, NY 12020 | 2020-02-11 |
| 1083257224 | Martins Foods of South Burlington LLC | Durable Medical Equipment & Medical Supplies | 3 Via Rossi Way, Ballston Spa, NY 12020 | 2019-10-21 |
| 1528542255 | Mary Szacik | Social Worker | 2452 Us Rt. 9, Suite 206, Malta, NY 12020 | 2018-09-19 |
| 1669966867 | Adam Smatko | Social Worker | 2452 Us Route 9, Suite 206, Malta, NY 12020 | 2018-06-20 |
| 1538665104 | Tressa Frese | Counselor | 35 Bath Street, Ballston Spa, NY 12020 | 2018-04-03 |
| 1902312556 | Maltavista Optometry, Pllc | Optometrist | 2715 Rt 9, Suite 204, Malta, NY 12020 | 2017-12-19 |
| 1497207294 | Julie Lapham | Counselor | 100 Saratoga Village Blvd. Suite 26, Malta, NY 12020 | 2016-10-27 |
| 1932656527 | Matthew Kattell | Physical Therapist | 4102 Ellsworth Boulevard, Malta, NY 12020 | 2016-09-01 |
| 1295134740 | Nnenna Lindsay | Psychologist | 15 Trieble Avenue, Suite 5 Pmb 1013, Ballston Spa, NY 12020 | 2014-08-21 |
| 1023425956 | Jessica Duell | Registered Nurse | 603 Sweetman Road, Ballston Spa, NY 12020 | 2014-07-11 |
| Find all providers in zip 12020 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588140701 | Jamie Marie Stahlman | Nurse Practitioner | 3 Little Dr, Malta, NY 12020-6330 | 2018-07-11 |
| 1144779604 | Heather Marie Gillespie | Nurse Practitioner | 859 N Main St, Malta, OH 43758-9007 | 2016-09-26 |
| 1972973477 | Theresa Ohl | Nurse Practitioner | 311 S 8th Ave E, 311 S. 8th Ave E, Malta, MT 59538-8978 | 2015-09-28 |
| 1629489281 | Courtney Diamond | Nurse Practitioner | 2537 Route 9, Suite 203, Malta, NY 12020 | 2014-05-16 |
| 1770686313 | Mary Lynn Massonne | Nurse Practitioner | 2554 Rt 9, Malta, NY 12020 | 2006-09-07 |
| 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 | ||||
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| 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.