Montclair Urological Group
Specialist in Glen Ridge, New Jersey
1104955798- Practice location
- 777 Bloomfield Ave, Glen Ridge, NJ 07028-2325
- Phone
- 973-746-3322
- Fax
- 973-429-8765
- Last updated
- August 22, 2020
Montclair Urological Group is a healthcare organization based in Glen Ridge, NJ. Montclair Urological Group practices in Glen Ridge, NJ. The NPI Number for Montclair Urological Group is 1104955798 and holds a License No. MA26559 (NJ). The current practice location address for Montclair Urological Group is 777 Bloomfield Ave, Glen Ridge, NJ 07028-2325 and can be reached out via phone at 973-746-3322 and via fax at 973-429-8765.
Provider Profile Details
- NPI Number
- 1104955798
- Provider Name
- Montclair Urological Group
- Provider Entity Type
- Organization
- Address
- 777 Bloomfield Ave, Glen Ridge, NJ 07028-2325
- Phone Number
- 973-746-3322
- Fax Number
- 973-429-8765
- Primary Taxonomy
- Specialist · 174400000X
- Organization Subpart
- No
- Authorized Official
- Dr. Peter C Boorjian, MD · President · 973-746-3322
- Provider Enumeration Date
- March 2, 2007
- Last Update Date
- August 22, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 777 Bloomfield Ave
Glen Ridge, NJ 07028-2325 - City
- Glen Ridge
- State
- New Jersey
- Zip
- 07028-2325
- Phone Number
- 973-746-3322
- Fax Number
- 973-429-8765
Provider Business Mailing Address Details
- Address
- 777 Bloomfield Ave
Glen Ridge, NJ 07028-2325 - City
- Glen Ridge
- State
- NJ
- Zip
- 07028-2325
- Phone Number
- 973-746-3322
- Fax Number
- 973-429-8765
License Information
- License Number
- MA26559
- License State
- NJ
- Taxonomy
- Specialist · 174400000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Specialists near Glen Ridge, NJ
View all Specialists in Glen Ridge →Frequently Asked Questions
What is the NPI number of Montclair Urological Group?
The NPI number of Montclair Urological Group is 1104955798. It was assigned on March 2, 2007 and is currently active in the NPPES registry.
What is the specialty of Montclair Urological Group?
Montclair Urological Group is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number MA26559.
Where does Montclair Urological Group practice?
The practice location is 777 Bloomfield Ave, Glen Ridge, NJ 07028-2325. The office can be reached at 973-746-3322 (phone) or 973-429-8765 (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 1104955798 directly on the NPPES registry website.