| Kyle Braden Montgomery, PA-C | |
|
100 Bowman Drive, Lower Level 2, Voorhees, NJ 08043 | |
| (856) 247-2160 | |
| (856) 247-2165 |
| Full Name | Kyle Braden Montgomery |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 100 Bowman Drive, Lower Level 2, Voorhees, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548775281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00465200 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| West Jersey Hospital | Voorhees, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Virtua Medical Group, Pa | 9830222397 | 1678 |
| Drx Paramus, Llc | 2466589585 | 63 |
| Entity Name | Cooper Univeristy Emergency Physicians PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689694473 PECOS PAC ID: 4486627551 Enrollment ID: O20040817000551 |
| Entity Name | Emergency Care Services of New Jersey PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992972830 PECOS PAC ID: 2567534100 Enrollment ID: O20080626000483 |
| Entity Name | Drx Paramus, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316272685 PECOS PAC ID: 2466589585 Enrollment ID: O20100422000051 |
| Entity Name | Virtua Medical Group, PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338 |
| Entity Name | Jersey Irish Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144575739 PECOS PAC ID: 0941451215 Enrollment ID: O20121114000210 |
| Entity Name | Prohealth Urgent Care Medicine of New Jersey LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477927754 PECOS PAC ID: 6002178647 Enrollment ID: O20180320001992 |
| Entity Name | The Radiology Group of New Jersey LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174010540 PECOS PAC ID: 4082979166 Enrollment ID: O20180518001107 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyle Braden Montgomery, PA-C 301 Lippincott Dr Ste 410, Marlton, NJ 08053-4197 Ph: (856) 355-0340 | Kyle Braden Montgomery, PA-C 100 Bowman Drive, Lower Level 2, Voorhees, NJ 08043 Ph: (856) 247-2160 |
Ms. Colleen Elizabeth Brown, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 900 Centennial Blvd Ste H, Voorhees, NJ 08043 Phone: 856-325-6702 |
Helene Chibane, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 100 Bowman Dr, Voorhees, NJ 08043 Phone: 856-247-3000 |
Gabrielle Toro, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Bowman Dr Ste E355, Voorhees, NJ 08043 Phone: 856-247-7210 Fax: 856-247-7511 |
Stephanie A Godbold, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Bowman Dr, Suite E-100, Voorhees, NJ 08043 Phone: 609-267-9400 |
Ms. Naw Susan Than, Physician Assistant Medicare: Medicare Enrolled Practice Location: 200 Bowman Dr Ste E385, Voorhees, NJ 08043 Phone: 856-840-4534 Fax: 856-762-2853 |
Lindsey Martin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Bowman Dr Ste D285, Voorhees, NJ 08043 Phone: 856-602-4000 Fax: 856-946-1747 |
Jael Jeong Madrid, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 443 Laurel Oak Rd, Voorhees, NJ 08043 Phone: 215-951-2800 |