MEDICARE: MICHAEL MONTERO

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	104100000X	Social Worker	44SL06623600	NJ
2	104100000X	Social Worker	109959	NY

General Provider Information

NPI Number	:	1396617924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL MONTERO

Provider Business Mailing Address
First Line	:	5 LINDEN ST APT 6C
Second Line	:
City	:	HACKENSACK
State	:	NJ
Zip	:	07601-3575
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2028 RITTENHOUSE SQ APT 301
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103-5621
Country	:	US
Telephone Number	:	646-760-8421
Fax Number	:

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

Provider Enumeration Date	:	09/23/2025
Last Update Date	:	01/20/2026

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Directions to “ MICHAEL MONTERO ” Practice Location

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