DR. ANDRE H. MONTAZEM (M.D.) – Oral & Maxillofacial Surgery (D.M.D.), NPI 1740242437
Oral & Maxillofacial Surgery (D.M.D.)
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. ANDRE H. MONTAZEM (M.D.)
54, Roosevelt Avenue, Hawthorne, Passaic County, New Jersey, 07506, United States
HAWTHORNE, NJ 075061539
Phone: (862) 684-5578
Type: Mailing
1 GUSTAVE L LEVY PL
BOX 1187
NEW YORK, NY 100296500
Phone: (212) 241-0316
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $115.
Total Amount is formed as General ($115) + Research ($0) + Ownership ($0) = $115.
Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Hu-Friedy Mfg. Co., LLC ($77).
Total Amount
$115
General + Research + Ownership
Payments
3
Total payment records
General Amount
$115
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Hu-Friedy Mfg. Co., LLC | $77 |
| Dentsply Sirona Inc | $25 |
| DePuy Synthes Sales Inc. | $13 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-12-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051222000614 | I | Maxillofacial Surgery | NY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 07506)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | MA | |
| Internal Medicine | NY | |
| - | NY | |
| Emergency Medicine | NY | |
| - | NY | |
| - | NY | |
| General Surgery | PA | |
| Emergency Medicine | NY | |
| Internal Medicine | NY | |
| - | IL |
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