Active NPIIndividual providerSole proprietor

Dr. Roderick J Clemente, MD

Neurological Surgery in Montclair, New Jersey

NPI Number1053405654
Practice location
96 Gates Avenue, Montclair, NJ 07042
Fax
973-744-3199
Last updated
June 23, 2010

Roderick John Clemente is a Neurological Surgery based in Montclair, NJ. Roderick John Clemente practices in Montclair, NJ and has the professional credentials of MD. The NPI Number for Roderick John Clemente is 1053405654 and holds a License No. 25MA04150100 (NJ). The current practice location address for Roderick John Clemente is 96 Gates Avenue, Montclair, NJ 07042 and can be reached out via phone at 973-744-3166 and via fax at 973-744-3199.

Provider Profile Details

NPI Number
1053405654
Provider Name
Roderick John Clemente
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
96 Gates Avenue, Montclair, NJ 07042
Phone Number
973-744-3166
Fax Number
973-744-3199
Primary Taxonomy
Neurological Surgery · 207T00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 3, 2006
Last Update Date
June 23, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
96 Gates Avenue
Montclair, NJ 07042
Zip
07042
Phone Number
973-744-3166
Fax Number
973-744-3199
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
96 Gates Ave
Montclair, NJ 07042-2501
City
Montclair
State
NJ
Zip
07042-2501
Phone Number
973-744-3166
Fax Number
973-744-3199

License Information

License Number
25MA04150100
License State
NJ
Taxonomy
Neurological Surgery · 207T00000X · 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 Dr. Roderick J Clemente, MD?

The NPI number of Dr. Roderick J Clemente, MD is 1053405654. It was assigned on October 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Roderick J Clemente, MD?

Dr. Roderick J Clemente, MD is registered under the primary taxonomy Neurological Surgery (code 207T00000X), licensed in NJ under license number 25MA04150100.

Where does Dr. Roderick J Clemente, MD practice?

The practice location is 96 Gates Avenue, Montclair, NJ 07042. The office can be reached at 973-744-3166 (phone) or 973-744-3199 (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 1053405654 directly on the NPPES registry website.

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