Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerry Montgomery, RN

Individual provider General Practice Registered Nurse · NPI 1225851074

Jerry Montgomery, RN is a General Practice Registered Nurse in Long Island City, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

2811 Queens Plz N
Long Island City, NY 11101-4172
Phone: (718) 391-8300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Registered Nurse (primary) Taxonomy 163WG0000X · Licence 876366 (NY)

Record details

NPI number1225851074
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedOctober 31, 2024
Last updated in NPPESOctober 31, 2024
Certification dateOctober 31, 2024

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