MONTCLAIR HOSPITAL LLC NPI 1295983484

NPI Information

NPI: 1295983484
Provider Name: MONTCLAIR HOSPITAL LLC
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
Doing Business As: MOUNTAINSIDE FAMILY PRACTICE ASSOCIATES
CLIA Number: 31D0681859
Address: 799 BLOOMFIELD AVE
SUITE 201
VERONA, NJ
ZIP 07044
Phone: (973) 746-7050

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NPI Details

MONTCLAIR HOSPITAL LLC is a primary care clinic center in Verona, NJ. MONTCLAIR HOSPITAL LLC NPI is 1295983484. The provider is registered as an organization entity type.
The provider Is Doing Business As Mountainside Family Practice Associates.

The provider's business location address is:

799 BLOOMFIELD AVE
SUITE 201
VERONA, NJ
ZIP 07044-367
Phone: (973) 746-7050
Fax: (973) 857-2831

The provider's authorized official is Joe Johnson .
The authorized official title is Vice President and has the following contact phone number (866) 465-9222.

The CLIA number assigned to this NPI record is 31D0681859 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/3/2008 and was last updated on 6/11/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	10766	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0139564	MEDICARE PIN	NEW JERSEY
2	10766	OTHER	NEW JERSEY	STATE LICENSE NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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