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DR. NICHOLAS JOHN MONTANARO DDS, MD
NPI 1881150688
Oral & Maxillofacial Surgery in Stony Brook, NY

Active since February 17, 2019PECOS EnrolledAccepts Medicare Assignment
207 HALLOCK RD STE 2, STONY BROOK, NY 11790(631) 675-9601(631) 675-9602 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 17, 2025, Jan 21, 2023, Feb 17, 2019 (3 updates tracked since 2019).

About Dr. Nicholas John Montanaro Dds, Md NPPES

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

DR. NICHOLAS JOHN MONTANARO DDS, MD (NPI 1881150688) is an individual oral & maxillofacial surgery provider in Stony Brook, New York, licensed in New York (338189) and active in the NPI registry since February 2019. He is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of State Un Of Ny, Stony Brook School Of Dental Med (2019).

NPPES Registry Identity

NPI1881150688
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. NICHOLAS JOHN MONTANAROCredential: DDS, MD
Location Address207 HALLOCK RD STE 2Stony Brook, NY 11790-3072
Mailing Address207 Hallock Rd Ste 2Stony Brook, NY 11790-3072 · (631) 675-9601 · Fax (631) 675-9602
Phone(631) 675-9601
Fax(631) 675-9602
Sole ProprietorYes
Medical School CMSState Un Of Ny, Stony Brook School Of Dental MedGraduated 2019
Enumeration DateFebruary 17, 2019
Last NPPES UpdateSeptember 17, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
✔ NPI 1881150688 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 · 338189
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.
207 HALLOCK RD STE 2, Stony Brook, NY 11790
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nicholas John Montanaro Dds, Md 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 ID345576294
PECOS Enrollment IDI20251002002518
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.

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

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

DR. MICHAEL PROOTHI DMD, MD
Oral & Maxillofacial Surgery
207 HALLOCK RD STE 2
STONY BROOK, NY 11790
Suffolk County (631) 675-9601

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 Nicholas Montanaro's NPI number?

The NPI number for Nicholas Montanaro is 1881150688. It was assigned to this individual provider in the NPPES registry on February 17, 2019.

Where is Nicholas Montanaro located?

Nicholas Montanaro practices at 207 Hallock Rd Ste 2, Stony Brook, NY 11790. The listed phone number is (631) 675-9601.

What is Nicholas Montanaro's specialty?

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

Is Nicholas Montanaro enrolled in Medicare?

Yes. Nicholas Montanaro 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.

Is Nicholas Montanaro affiliated with any hospitals?

According to CMS data, Nicholas Montanaro is affiliated with Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Montanaro was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.