Active NPIOrganization

Montclair State University Occupational Health

Clinic/Center, Occupational Medicine in Montclair, New Jersey

NPI Number1376144790
Practice location
1 Normal Avenue, Blanton Hall, Montclair, NJ 07043-1624
Fax
—
Last updated
November 3, 2020

Montclair State University Occupational Health is a healthcare organization based in Montclair, NJ. Montclair State University Occupational Health practices in Montclair, NJ. The NPI Number for Montclair State University Occupational Health is 1376144790. The current practice location address for Montclair State University Occupational Health is 1 Normal Avenue, Blanton Hall, Montclair, NJ 07043-1624 and can be reached out via phone at 973-655-5014.

Provider Profile Details

NPI Number
1376144790
Provider Name
Montclair State University Occupational Health
Provider Entity Type
Organization
Address
1 Normal Avenue, Blanton Hall, Montclair, NJ 07043-1624
Phone Number
973-655-5014
Primary Taxonomy
Clinic/Center, Occupational Medicine · 261QX0100X
Organization Subpart
Yes
Parent Organization
Montclair State University
Authorized Official
Dr. Gregg Summerville, MD · Occupational Health Physician · 973-655-5014
Provider Enumeration Date
November 3, 2020
Last Update Date
November 3, 2020
Certification Date
November 3, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Normal Avenue
Blanton Hall
Montclair, NJ 07043-1624
Zip
07043-1624
Phone Number
973-655-5014
Montclair, NJ 07043Get directions →

Provider Business Mailing Address Details

Address
1 Normal Avenue
Blanton Hall
Montclair, NJ 07043-1624
City
Montclair
State
NJ
Zip
07043-1624
Phone Number
973-655-5014

License Information

Taxonomy
Clinic/Center, Occupational Medicine · 261QX0100X · 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 State University Occupational Health?

The NPI number of Montclair State University Occupational Health is 1376144790. It was assigned on November 3, 2020 and is currently active in the NPPES registry.

What is the specialty of Montclair State University Occupational Health?

Montclair State University Occupational Health is registered under the primary taxonomy Clinic/Center, Occupational Medicine (code 261QX0100X).

Where does Montclair State University Occupational Health practice?

The practice location is 1 Normal Avenue, Blanton Hall, Montclair, NJ 07043-1624. The office can be reached at 973-655-5014 (phone).

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 1376144790 directly on the NPPES registry website.

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