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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LAUREN THERESA MONTALVO
NPI 1366203648
Nurse Practitioner - Psychiatric/Mental Health in Newark, NJ

Active since January 23, 2024PECOS EnrolledAccepts Medicare Assignment
550 MAYOR GIBSON BLVD STE 606, NEWARK, NJ 07102(201) 822-1161 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 6, 2026, Mar 29, 2026, Jan 23, 2026 and 1 more (4 updates tracked since 2025).

About Lauren Theresa Montalvo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAUREN THERESA MONTALVO (NPI 1366203648) is an individual psychiatric/mental health provider in Newark, New Jersey, licensed in New Jersey (26NJ15024000) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Alabama School Of Medicine (2025).

NPPES Registry Identity

NPI1366203648
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLAUREN THERESA MONTALVO
Location Address550 MAYOR GIBSON BLVD STE 606Newark, NJ 07102-4537
Mailing Address2600 N American StPhiladelphia, PA 19133-3413 · (201) 560-6454
Phone(201) 822-1161
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2025
Enumeration DateJanuary 23, 2024
Last NPPES UpdateOctober 6, 20264 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1366203648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in NJ · 26NJ15024000✔ Licensed in PA · SP033261
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License SP029145 (PA)
550 MAYOR GIBSON BLVD STE 606, Newark, NJ 07102
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12600 N American StPhiladelphia, PA 19133-3413 · Phone (201) 560-6454
Location 218 Dover St Unit 18Norwell, MA 02061-0305 · Phone (508) 296-0875

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lauren Theresa Montalvo is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678919362
PECOS Enrollment IDI20240318000009, I20250520000301
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

8

Medicare enrollment records show Lauren Montalvo reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jls Medical PC
6.9 mi
Psychiatry
550 BROAD ST STE 606
Newark, NJ 07102
  • Reassigned Medicare billing, New Jersey enrollment
  • 141 clinicians in this Medicare group
NPI 1164007043 (201) 822-1161
Trinity Health Mid-Atlantic Medical Group
47 mi
Family Medicine
178 W STREET RD
Feasterville Trevose, PA 19053
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 646 clinicians in this Medicare group
NPI 1679813687 (215) 710-6490
Comhar Inc
68 mi
Community/Behavioral Health
2055 E ALLEGHENY AVE
Philadelphia, PA 19134
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Co Mhar Inc
  • 38 clinicians in this Medicare group
NPI 1144343724 (215) 203-3037
Kennedy Medical Group Practice, P.C.
69 mi
Family Medicine
73 N MAPLE AVE, SUITE B
Marlton, NJ 08053
  • Reassigned Medicare billing, New Jersey enrollment
  • 438 clinicians in this Medicare group
NPI 1427350040 (856) 596-0558
Ahpaffs,llc
70 mi
Urgent Care
1010 W LEHIGH AVE
Philadelphia, PA 19133
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 30 clinicians in this Medicare group
NPI 1275985814 (267) 273-7000
Regional Women's Health Group, LLC
73 mi
Obstetrics & Gynecology
227 LAUREL ROAD ECHELON ONE, SUITE 300
Voorhees, NJ 08043
  • Reassigned Medicare billing, New Jersey and Pennsylvania enrollments
  • Medicare enrollment name: Regional Womens Health Group LLC
  • Also billed through NPI 1750880118 (Pennsylvania)
  • 307 clinicians in this Medicare group
NPI 1548215536 (856) 669-6050
Pennsylvania Urgent Care Centers, PLLC
91 mi
Urgent Care
150 E PENNSYLVANIA AVE, SUITE 140
Downingtown, PA 19335
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 172 clinicians in this Medicare group
NPI 1902128721 (610) 518-1060
Professional Counseling Consulting & Human Services LLC
98 mi
Psychiatry
1 W CENTRE ST
Mahanoy City, PA 17948
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 18 clinicians in this Medicare group
NPI 1366685661 (570) 622-9101

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
154 services144 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
21 services20 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
18 services18 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KATHLEEN MARIE PINTO ARAYA PHD, MBA, MSN, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
550 MAYOR GIBSON BLVD STE 606
NEWARK, NJ 07102
Essex County (201) 822-1161
MRS. KEISHA KATRICE SPARROW MA, LPC
Counselor (Professional)
550 MAYOR GIBSON BLVD STE 606
NEWARK, NJ 07102
Essex County (201) 822-1161
LYDIA OLUWASEUN OYAWOLE
Nurse Practitioner (Psychiatric/Mental Health)
550 MAYOR GIBSON BLVD STE 606
NEWARK, NJ 07102
Essex County (201) 822-1161
KARIM ELSAYED
Nurse Practitioner (Psychiatric/Mental Health)
550 MAYOR GIBSON BLVD STE 606
NEWARK, NJ 07102
Essex County (201) 822-1161
ANTONIO CARABALLO
Nurse Practitioner (Psychiatric/Mental Health)
550 MAYOR GIBSON BLVD STE 606
NEWARK, NJ 07102
Essex County (201) 822-1161
SADE BETHEA
Social Worker (Clinical)
550 MAYOR GIBSON BLVD STE 606
NEWARK, NJ 07102
Essex County (201) 822-1161
JORDAN LYNN INDYK
Social Worker (Clinical)
550 MAYOR GIBSON BLVD STE 606
NEWARK, NJ 07102
Essex County (201) 822-1161
NEKEN PRINGLE
Nurse Practitioner (Psychiatric/Mental Health)
550 MAYOR GIBSON BLVD STE 606
NEWARK, NJ 07102
Essex County (201) 822-1161

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lauren Montalvo's NPI number?

The NPI number for Lauren Montalvo is 1366203648. It was assigned to this individual provider in the NPPES registry on January 23, 2024.

Where is Lauren Montalvo located?

Lauren Montalvo practices at 550 Mayor Gibson Blvd Ste 606, Newark, NJ 07102. The listed phone number is (201) 822-1161.

What is Lauren Montalvo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lauren Montalvo enrolled in Medicare?

Yes. Lauren Montalvo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lauren Montalvo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Montalvo reassigns Medicare benefits to 8 organizations: Jls Medical PC (Newark, NJ), Trinity Health Mid-Atlantic Medical Group (Feasterville Trevose, PA), Comhar Inc (Philadelphia, PA), Kennedy Medical Group Practice, P.C. (Marlton, NJ), Ahpaffs,llc (Philadelphia, PA) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lauren Montalvo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lauren Montalvo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and Oscar Health list Lauren Montalvo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lauren Montalvo was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.