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

DIANA MONTOYA
NPI 1538877931
Nurse Practitioner - Primary Care in Wayne, NJ

Active since November 14, 2022PECOS EnrolledAccepts Medicare Assignment
1777 HAMBURG TPKE STE 100, WAYNE, NJ 07470(973) 616-8400 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 7, 2026, Feb 9, 2023, Jan 23, 2023 and 1 more (4 updates tracked since 2022).

About Diana Montoya NPPES

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

DIANA MONTOYA (NPI 1538877931) is an individual primary care provider in Wayne, New Jersey, licensed in New Jersey (26NJ01415500) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1538877931
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameDIANA MONTOYA
Location Address1777 HAMBURG TPKE STE 100Wayne, NJ 07470-5243
Mailing Address629 Cranbury Rd Fl 2East Brunswick, NJ 08816-4096 · (732) 390-7750
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 14, 2022
Last NPPES UpdateOctober 7, 20264 updates tracked since enumeration
NPPES CertifiedOctober 7, 2026
✔ NPI 1538877931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NJ · 26NJ01415500
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 26NJ01415500 (NJ)
1777 HAMBURG TPKE STE 100, Wayne, NJ 07470

Other Identifiers 1

MedicaidUNKNOWNJ

Accepted 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

Diana Montoya 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 ID1658743372
PECOS Enrollment IDI20230207000144
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

2

Medicare enrollment records show Diana Montoya reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
100 MADISON AVENUE, INTEROFFICE #68
Morristown, NJ 07960
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,699 clinicians in this Medicare group
Hematology & Oncology
629 CRANBURY RD FL 2
East Brunswick, NJ 08816
  • Reassigned Medicare billing, New Jersey enrollment
  • 132 clinicians in this Medicare group

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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
193 services123 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
110 services86 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
74 services60 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
55 services55 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
39 services35 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
19 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Chilton Medical Center

Acute Care Hospitals · Pompton Plains, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310017
Location97 West ParkwayPompton Plains, NJ 07444 · Morris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07470 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

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

Urology
1777 HAMBURG TPKE STE 100
WAYNE, NJ 07470

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 Diana Montoya's NPI number?

The NPI number for Diana Montoya is 1538877931. It was assigned to this individual provider in the NPPES registry on November 14, 2022.

Where is Diana Montoya located?

Diana Montoya practices at 1777 Hamburg Tpke Ste 100, Wayne, NJ 07470. The listed phone number is (973) 616-8400.

What is Diana Montoya's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Diana Montoya enrolled in Medicare?

Yes. Diana Montoya 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 Diana Montoya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diana Montoya reassigns Medicare benefits to 2 organizations: Practice Associates Medical Group (Morristown, NJ) and Titan Health Partners LLC (East Brunswick, NJ). 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 Diana Montoya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Diana Montoya accept?

Health plans from Ambetter Health list Diana Montoya 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.

Is Diana Montoya affiliated with any hospitals?

According to CMS data, Diana Montoya is affiliated with Morristown Medical Center and Chilton Medical Center.

When was this NPI record last updated?

The NPPES record for Diana Montoya was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 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.