Active NPIOrganization

Montclair Gastroenterology Consultants, LLC

Internal Medicine, Gastroenterology in Glen Ridge, New Jersey

NPI Number1336343185
Practice location
200 Highland Ave, Suite 110, Glen Ridge, NJ 07028-1528
Fax
973-748-1373
Last updated
August 22, 2020

Montclair Gastroenterology Consultants, LLC is a healthcare organization based in Glen Ridge, NJ. Montclair Gastroenterology Consultants, LLC practices in Glen Ridge, NJ. The NPI Number for Montclair Gastroenterology Consultants, LLC is 1336343185 and holds a License No. ma068787 (NJ). The current practice location address for Montclair Gastroenterology Consultants, LLC is 200 Highland Ave, Suite 110, Glen Ridge, NJ 07028-1528 and can be reached out via phone at 973-748-9166 and via fax at 973-748-1373.

Provider Profile Details

NPI Number
1336343185
Provider Name
Montclair Gastroenterology Consultants, LLC
Provider Entity Type
Organization
Address
200 Highland Ave, Suite 110, Glen Ridge, NJ 07028-1528
Phone Number
973-748-9166
Fax Number
973-748-1373
Primary Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X
Organization Subpart
No
Authorized Official
Dr. Sangbaek Charles Oh, MD · Owner · 973-748-9166
Provider Enumeration Date
June 14, 2007
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Highland Ave
Suite 110
Glen Ridge, NJ 07028-1528
Zip
07028-1528
Phone Number
973-748-9166
Fax Number
973-748-1373
Glen Ridge, NJ 07028Get directions →

Provider Business Mailing Address Details

Address
Po Box 590
Franklin Lakes, NJ 07417-0590
City
Franklin Lakes
State
NJ
Zip
07417-0590
Phone Number
973-748-9166
Fax Number
973-748-1373

License Information

License Number
ma068787
License State
NJ
Taxonomy
Internal Medicine, Gastroenterology · 207RG0100X · 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 Gastroenterology Consultants, LLC?

The NPI number of Montclair Gastroenterology Consultants, LLC is 1336343185. It was assigned on June 14, 2007 and is currently active in the NPPES registry.

What is the specialty of Montclair Gastroenterology Consultants, LLC?

Montclair Gastroenterology Consultants, LLC is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in NJ under license number ma068787.

Where does Montclair Gastroenterology Consultants, LLC practice?

The practice location is 200 Highland Ave, Suite 110, Glen Ridge, NJ 07028-1528. The office can be reached at 973-748-9166 (phone) or 973-748-1373 (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 1336343185 directly on the NPPES registry website.

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