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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.

DR. ANDRE H. MONTAZEM M.D.
NPI 1740242437
Oral & Maxillofacial Surgery in New York, NY

Active since April 06, 2006PECOS Enrolled
1 GUSTAVE L LEVY PL, BOX 1187, NEW YORK, NY 10029(212) 241-0316 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Andre H. Montazem M.d. NPPES

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

DR. ANDRE H. MONTAZEM M.D. (NPI 1740242437) is an individual oral & maxillofacial surgery provider in New York, New York, licensed in New York (208721) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740242437
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. ANDRE H. MONTAZEMCredential: M.D.
Location Address1 GUSTAVE L LEVY PL, BOX 1187New York, NY 10029-6500
Mailing Address54 Roosevelt AveHawthorne, NJ 07506-1539 · (862) 684-5578
Phone(212) 241-0316
Sole ProprietorNo
Enumeration DateApril 6, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1740242437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in NY · 208721
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
1 GUSTAVE L LEVY PL, New York, NY 10029
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Other Identifiers 1

Medicaid01795293NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andre H. Montazem M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MRS. LAURA MANNING R.D., C.D.N.
Dietitian, Registered
1 GUSTAVE L LEVY PL, BOX 1625
NEW YORK, NY 10029
New York County (212) 241-9426
AMY JAYANT SANGHVI MD
Emergency Medicine
1 GUSTAVE L LEVY PL, BOX 1149
NEW YORK, NY 10029
New York County (212) 241-0748
MOUNT SINAI MEDICAL CENTER
General Acute Care Hospital
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
New York County (800) 637-4624
ANURADHA LALA-TRINDADE
Internal Medicine (Cardiovascular Disease)
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
New York County (212) 987-3100
RENA DYMERSKY RPA-C, MS
Physician Assistant
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
New York County (212) 241-6500
JENNY H CHUNG PHARMD, RN, FNP-BC
Nurse Practitioner (Family)
1 GUSTAVE L LEVY PL, TRANSPLANT INST. DEPARTMENT BOX 1104
NEW YORK, NY 10029
New York County (212) 659-8006
ERIKA JACOBSON RD,CDN
Dietitian, Registered
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
New York County (917) 241-5633
SARAH ALICIA REDA
Student in an Organized Health Care Education/Training Program
1 GUSTAVE L LEVY PL
NEW YORK, NY 10029
New York County (212) 241-6500

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 Andre Montazem's NPI number?

The NPI number for Andre Montazem is 1740242437. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Where is Andre Montazem located?

Andre Montazem practices at 1 Gustave L Levy Pl Box 1187, New York, NY 10029. The listed phone number is (212) 241-0316.

What is Andre Montazem's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Andre Montazem enrolled in Medicare?

Yes. Andre Montazem is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andre Montazem was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 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.