MONTCLAIR MEDICAL ASSOCIATES LLC (NPI# 1588176929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588176929 |
| Entity Type | Organization |
| Organization Name | MONTCLAIR MEDICAL ASSOCIATES LLC |
| Practice Address |
290 S Livingston Ave Livingston NJ 07039-3931 |
| Practice Telephone | 9725922733 |
| Mailing Telephone | 9725922733 |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2017-10-25 |
| Authorized Official Name | RENITA OGLESBY (OWNER) |
| Authorized Official Telephone | 9735922733 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities | ||
| Y | 207Q00000X | Family Medicine | 25MB08472400 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
290 S LIVINGSTON AVE |
| City | LIVINGSTON |
| State | NJ |
| Zip Code | 07039-3931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518900810 | Dermatology and Laser Center of Northern New Jersey LLC | Dermatology | 290 S Livingston Ave, Suite 1, Livingston, NJ 07039-3931 | 2006-06-14 |
| 1336552793 | Grunstein Family Chiropractic Center | Massage Therapist | 290 S Livingston Ave, Livingston, NJ 07039-3931 | 2014-06-03 |
| 1982956124 | Noushin Heidary Md LLC | Dermatology | 290 S Livingston Ave, Livingston, NJ 07039-3931 | 2012-10-12 |
| 1639483845 | Kenneth A Weiner | Optometrist | 290 S Livingston Ave, Livingston, NJ 07039-3931 | 2010-07-29 |
| 1548437122 | Susan Stevens Tanne | Family Medicine | 290 S Livingston Ave, 1st Floor, Livingston, NJ 07039-3931 | 2008-05-13 |
| 1356566319 | Maron and Rodrigues Medical Group | Internal Medicine | 290 S Livingston Ave, Livingston, NJ 07039-3931 | 2007-04-16 |
| 1558497099 | Majid Reza Navi | Dentist | 290 S Livingston Ave, Livingston, NJ 07039-3931 | 2007-02-26 |
| 1447363205 | Fred W Teschemacher Jr. | Dentist | 290 S Livingston Ave, Livingston, NJ 07039-3931 | 2006-08-16 |
| 1427064781 | Emmanuel Cha | Dentist | 290 S Livingston Ave, Livingston, NJ 07039-3931 | 2006-07-31 |
| 1417975509 | James Schroeder Schroeder | Psychologist | 290 S Livingston Ave, Suite 2, Livingston, NJ 07039-3931 | 2006-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184111 | Dentistry With A Smile, Inc. | Durable Medical Equipment & Medical Supplies | 1100 Town Center Way, 14-a-ii, Livingston, NJ 07039 | 2020-11-03 |
| 1326692104 | Amy Beth Lipsey | Social Worker | Amy Lipsey, 301 South Livingston Avenue, Livingston, NJ 07039 | 2019-07-30 |
| 1427543412 | Bodypro Physical Therapy, LLC | Physical Therapist | 5 Country Club Ct, Livingston, NJ 07039 | 2018-06-22 |
| 1538665245 | Kushal Shukla | Student in an Organized Health Care Education/Training Program | 20 Canoe Brook Dr, Livingston, NJ 07039 | 2018-04-02 |
| 1629594643 | Northeast Pulmonary and Sleep Medical LLC | Specialist | 506 Regent Street, Suite A, Livingston, NJ 07039 | 2017-08-22 |
| 1184154098 | Snf Old Short Hills Operating Company, LLC | Skilled Nursing Facility | 348 East Cedar Street, Livingston, NJ 07039 | 2017-06-13 |
| 1093254690 | Suzanne M Verbesky Dpm LLC | Clinic/Center | 44 West Mcclellan Avenue, Livingston, NJ 07039 | 2017-02-15 |
| 1649723743 | Essex County Weightloss, LLC | Internal Medicine | 5 Regent St Ste 509, Livingston, NJ 07039 | 2016-07-26 |
| 1912352824 | Grant Arzumanov | Student in an Organized Health Care Education/Training Program | 94 Old Short Hills Rd., Livingston, NJ 07039 | 2016-04-28 |
| 1891158671 | Journey's Eve Counseling LLC | Counselor | 2 Northfield Rd, 210a, Livingston, NJ 07039 | 2016-03-30 |
| Find all providers in zip 07039 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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| 1508488156 | Urgent Health Solutions Livingston | Family Medicine | 1615 W Church St Ste 100, Livingston, TX 77351-8862 | 2020-05-16 |
| 1801381934 | Park Health Care Pllc | Family Medicine | 1001 River Dr Ste 100, Livingston, MT 59047-3716 | 2018-07-01 |
| 1669986030 | Ran Health Services, Inc. | Family Medicine | 517 Main St Ste A, Livingston, CA 95334-1427 | 2017-11-21 |
| 1376922252 | Sandeep Pinnapureddy | Family Medicine | 204 W Park Ste 200, Livingston, TX 77351-9337 | 2015-05-25 |
| 1487975447 | Johneca Rochelle Broussard | Family Medicine | 309 Highway 59 South Loop, Livingston, TX 77351 | 2010-06-14 |
| 1346563020 | Stephen Patrick Mcculloh | Family Medicine | 13960 Florida Blvd., Livingston, LA 70754 | 2010-03-09 |
| 1407097470 | Lauren Gillis Moore | Family Medicine | 13960 Florida Boulevard, Livingston, LA 70754 | 2009-03-20 |
| 1245486505 | Blackbelt Clinic | Family Medicine | 1302 North Washington, Livingston, AL 35470-0000 | 2008-08-18 |
| 1821256314 | James Gordon Allison | Family Medicine | 25 Willow Bend Lane, Livingston, MT 59047 | 2008-05-30 |
| 1174701916 | Livingston After Hours & Occupational Medicine LLC | Family Medicine | 14292 Florida Boulevard, Livingston, LA 70754 | 2008-02-04 |
| Find all providers in LIVINGSTON | ||||
| City | LIVINGSTON |
| Zip Code | 07039 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.