MEDICARE: DR. JOSEPH W MONTAGNINO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	25MA03358100	NJ

General Provider Information

NPI Number	:	1013025881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH W MONTAGNINO MD

Provider Business Mailing Address
First Line	:	PO BOX 98
Second Line	:
City	:	WYCKOFF
State	:	NJ
Zip	:	07481
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	625 LAYFAYETTE AVENUE
Second Line	:
City	:	HAWTHORNE
State	:	NJ
Zip	:	07506
Country	:	US
Telephone Number	:	973-238-0055
Fax Number	:	973-238-9826

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	01/11/2026

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