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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.

MARIA MONTALVO NP
NPI 1568864270
Nurse Practitioner - Psychiatric/Mental Health in Edgewater, NJ

Active since September 24, 2014PECOS EnrolledAccepts Medicare Assignment
125 RIVER RD STE 103, EDGEWATER, NJ 07020(201) 969-2111(201) 969-8015 Get Directions Write a Review

NPPES record last updated: September 25, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 25, 2026, Jan 23, 2020, Jan 8, 2020 (3 updates tracked since 2020).

About Maria Montalvo Np NPPES

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

MARIA MONTALVO NP (NPI 1568864270) is an individual psychiatric/mental health provider in Edgewater, New Jersey, licensed in New Jersey (26NJ00513400) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with St Joseph's University Medical Center Inc, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1568864270
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARIA MONTALVOCredential: NP
Location Address125 RIVER RD STE 103Edgewater, NJ 07020-1002
Mailing Address125 River Rd Ste 103Edgewater, NJ 07020-1002 · (201) 969-2111 · Fax (201) 969-8015
Phone(201) 969-2111
Fax(201) 969-8015
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 24, 2014
Last NPPES UpdateSeptember 25, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2026
✔ NPI 1568864270 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
License✔ Licensed in NJ · 26NJ00513400
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 26NJ00513400 (NJ)
125 RIVER RD STE 103, Edgewater, NJ 07020
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Maria Montalvo Np 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 ID9032428644
PECOS Enrollment IDI20151022000563
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

3

Medicare enrollment records show Maria Montalvo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Joseph's Healthcare, Inc.
11 mi
Internal Medicine
703 MAIN ST, ST. JOSEPH'S REGIONAL MEDICAL CENTER
Paterson, NJ 07503
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: St Josephs Healthcare Inc
  • 372 clinicians in this Medicare group
NPI 1497791297 (973) 754-2000
St Josephs Medical Group PC
11 mi
Internal Medicine
703 MAIN ST
Paterson, NJ 07503
  • Reassigned Medicare billing, New Jersey enrollment
  • 317 clinicians in this Medicare group
NPI 1205425519 (973) 754-2000
Hackensack Meridian Health Medical Group - Specialty Care PC
33 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800

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

Hospital Affiliations CMS Care Compare

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

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number310019
Location703 Main StPaterson, NJ 07503 · Passaic County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07020 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.

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 Maria Montalvo's NPI number?

The NPI number for Maria Montalvo is 1568864270. It was assigned to this individual provider in the NPPES registry on September 24, 2014.

Where is Maria Montalvo located?

Maria Montalvo practices at 125 River Rd Ste 103, Edgewater, NJ 07020. The listed phone number is (201) 969-2111.

What is Maria Montalvo's specialty?

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

Is Maria Montalvo enrolled in Medicare?

Yes. Maria 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 Maria Montalvo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Montalvo reassigns Medicare benefits to 3 organizations: St. Joseph's Healthcare, Inc. (Paterson, NJ), St Josephs Medical Group PC (Paterson, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, 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 Maria Montalvo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maria Montalvo accept?

Health plans from Oscar Health list Maria 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.

Is Maria Montalvo affiliated with any hospitals?

According to CMS data, Maria Montalvo is affiliated with St Joseph's University Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Maria Montalvo was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 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.