MARIYAN MONTAQUE DNP FNP-BC NPI 1083081046

NPI Information

  • NPI: 1083081046
  • Provider Name: MARIYAN MONTAQUE, DNP, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 242 GREEN ST
    GARDNER, MA
    ZIP 01440
  • Phone: (978) 630-5020

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NPI Details

Mariyan Montaque, DNP, FNP-BC is a family nurse practitioner in Gardner, MA with 11 years of experience. Mariyan Montaque, DNP, FNP-BC NPI is 1083081046. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

242 GREEN ST
GARDNER, MA
ZIP 01440-373
Phone: (978) 630-5020

The NPI 1083081046 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 8/25/2015 and was last updated on 12/12/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily2274743MASSACHUSETTSYes
2363L00000XNurse PractitionerRN2274743MASSACHUSETTSNo
3163W00000XRegistered Nurse4704289575MICHIGANNo
4163W00000XRegistered Nurse070619-21NEW HAMPSHIRENo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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