Active NPIOrganization

Montclair Breast Center PC

Surgery in Montclair, New Jersey

NPI Number1053367334
Practice location
37 No Fullerton Avenue, Montclair Breast Center PC, Montclair, NJ 07042-3426
Fax
973-509-0708
Last updated
July 9, 2026

Montclair Breast Center PC is a healthcare organization based in Montclair, NJ. Montclair Breast Center PC practices in Montclair, NJ. The NPI Number for Montclair Breast Center PC is 1053367334. The current practice location address for Montclair Breast Center PC is 37 No Fullerton Avenue, Montclair Breast Center PC, Montclair, NJ 07042-3426 and can be reached out via phone at 973-509-1818 and via fax at 973-509-0708.

Provider Profile Details

NPI Number
1053367334
Provider Name
Montclair Breast Center PC
Provider Entity Type
Organization
Address
37 No Fullerton Avenue, Montclair Breast Center PC, Montclair, NJ 07042-3426
Phone Number
973-509-1818
Fax Number
973-509-0708
Primary Taxonomy
Surgery · 208600000X
Organization Subpart
No
Authorized Official
Jackie L Hernandez · Billing Manager · 973-744-0604
Provider Enumeration Date
May 26, 2006
Last Update Date
July 9, 2026
Certification Date
July 9, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
37 No Fullerton Avenue
Montclair Breast Center PC
Montclair, NJ 07042-3426
Zip
07042-3426
Phone Number
973-509-1818
Fax Number
973-509-0708
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
37 N Fullerton Ave
Montclair, NJ 07042-3426
City
Montclair
State
NJ
Zip
07042-3426
Phone Number
973-509-1818
Fax Number
973-509-0532

License Information

License State (1)
NJ
Taxonomy (1)
Radiology, Diagnostic Radiology · 2085R0202X
License State (2)
NJ
Taxonomy (2)
Radiology, Diagnostic Ultrasound · 2085U0001X
License State (3)
NJ
Taxonomy (3)
Surgery · 208600000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Montclair Breast Center PC?

The NPI number of Montclair Breast Center PC is 1053367334. It was assigned on May 26, 2006 and is currently active in the NPPES registry.

What is the specialty of Montclair Breast Center PC?

Montclair Breast Center PC is registered under the primary taxonomy Surgery (code 208600000X).

Where does Montclair Breast Center PC practice?

The practice location is 37 No Fullerton Avenue, Montclair Breast Center PC, Montclair, NJ 07042-3426. The office can be reached at 973-509-1818 (phone) or 973-509-0708 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053367334 directly on the NPPES registry website.

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