MONTCLAIR ENDOCRINE ASSOCIATES NPI 1871684407

NPI Information

  • NPI: 1871684407
  • Provider Name: MONTCLAIR ENDOCRINE ASSOCIATES
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Organization
  • CLIA Number: 31D2258205
  • Address: 119 GROVE ST
    MONTCLAIR, NJ
    ZIP 07042
  • Phone: (973) 744-3733

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NPI Details

MONTCLAIR ENDOCRINE ASSOCIATES is an endocrinology and diabetes and metabolism internal medicine in Montclair, NJ. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. MONTCLAIR ENDOCRINE ASSOCIATES NPI is 1871684407. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

119 GROVE ST
MONTCLAIR, NJ
ZIP 07042-044
Phone: (973) 744-3733
Fax: (973) 744-6996

The provider's authorized official is Maris R Davis .
The authorized official title is Partner and has the following contact phone number (973) 744-3733.

The CLIA number assigned to this NPI record is 31D2258205 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/27/2006 and was last updated on 12/16/2011.

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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

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
1036326MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY

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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