Active NPIIndividual provider

Dr. Andre H Montazem, MD

Oral & Maxillofacial Surgery in New York, New York

NPI Number1740242437
Practice location
1 Gustave L Levy Pl, Box 1187, New York, NY 10029-6500
Fax
—
Last updated
July 13, 2026

Andre H. Montazem is an Oral & Maxillofacial Surgery based in New York, NY. Andre H. Montazem practices in New York, NY and has the professional credentials of MD. The NPI Number for Andre H. Montazem is 1740242437 and holds a License No. 208721 (NY). The current practice location address for Andre H. Montazem is 1 Gustave L Levy Pl, Box 1187, New York, NY 10029-6500 and can be reached out via phone at 212-241-0316.

Provider Profile Details

NPI Number
1740242437
Provider Name
Andre H. Montazem
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1 Gustave L Levy Pl, Box 1187, New York, NY 10029-6500
Phone Number
212-241-0316
Primary Taxonomy
Oral & Maxillofacial Surgery · 204E00000X
Sole Proprietor
No
Provider Enumeration Date
April 6, 2006
Last Update Date
July 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Gustave L Levy Pl
Box 1187
New York, NY 10029-6500
Zip
10029-6500
Phone Number
212-241-0316
New York, NY 10029Get directions →

Provider Business Mailing Address Details

Address
54 Roosevelt Ave
Hawthorne, NJ 07506-1539
City
Hawthorne
State
NJ
Zip
07506-1539
Phone Number
862-684-5578

License Information

License Number
208721
License State
NY
Taxonomy
Oral & Maxillofacial Surgery · 204E00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Andre H Montazem, MD?

The NPI number of Dr. Andre H Montazem, MD is 1740242437. It was assigned on April 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Andre H Montazem, MD?

Dr. Andre H Montazem, MD is registered under the primary taxonomy Oral & Maxillofacial Surgery (code 204E00000X), licensed in NY under license number 208721.

Where does Dr. Andre H Montazem, MD practice?

The practice location is 1 Gustave L Levy Pl, Box 1187, New York, NY 10029-6500. The office can be reached at 212-241-0316 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740242437 directly on the NPPES registry website.

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