Montclair Medical Associates LLC
Family Medicine in Livingston, New Jersey
1588176929- Practice location
- 290 S Livingston Ave, Livingston, NJ 07039-3931
- Phone
- 972-592-2733
- Fax
- —
- Last updated
- October 25, 2017
Montclair Medical Associates LLC is a healthcare organization based in Livingston, NJ. Montclair Medical Associates LLC practices in Livingston, NJ. The NPI Number for Montclair Medical Associates LLC is 1588176929 and holds a License No. 25MB08472400 (NJ). The current practice location address for Montclair Medical Associates LLC is 290 S Livingston Ave, Livingston, NJ 07039-3931 and can be reached out via phone at 972-592-2733.
Provider Profile Details
- NPI Number
- 1588176929
- Provider Name
- Montclair Medical Associates LLC
- Provider Entity Type
- Organization
- Address
- 290 S Livingston Ave, Livingston, NJ 07039-3931
- Phone Number
- 972-592-2733
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Organization Subpart
- No
- Authorized Official
- Renita Oglesby, DO · Owner · 973-592-2733
- Provider Enumeration Date
- October 25, 2017
- Last Update Date
- October 25, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 290 S Livingston Ave
Livingston, NJ 07039-3931 - City
- Livingston
- State
- New Jersey
- Zip
- 07039-3931
- Phone Number
- 972-592-2733
Provider Business Mailing Address Details
- Address
- 290 S Livingston Ave
Livingston, NJ 07039-3931 - City
- Livingston
- State
- NJ
- Zip
- 07039-3931
- Phone Number
- 972-592-2733
License Information
- Taxonomy (1)
- Clinic/Center, Occupational Medicine · 261QX0100X
- License Number (2)
- 25MB08472400
- License State (2)
- NJ
- Taxonomy (2)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Livingston, NJ
View all Family Medicine providers in Livingston →Frequently Asked Questions
What is the NPI number of Montclair Medical Associates LLC?
The NPI number of Montclair Medical Associates LLC is 1588176929. It was assigned on October 25, 2017 and is currently active in the NPPES registry.
What is the specialty of Montclair Medical Associates LLC?
Montclair Medical Associates LLC is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MB08472400.
Where does Montclair Medical Associates LLC practice?
The practice location is 290 S Livingston Ave, Livingston, NJ 07039-3931. The office can be reached at 972-592-2733 (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 1588176929 directly on the NPPES registry website.