MONTCLAIR ADULT CARE
NPI 1033429758
Internal Medicine in Montclair, NJ

Active since October 15, 2010
239 CLAREMONT AVE, MONTCLAIR, NJ 07042(973) 338-3300(973) 338-0400 Get Directions Write a Review

NPPES record last updated: May 20, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Montclair Adult Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONTCLAIR ADULT CARE (NPI 1033429758) is a healthcare organization registered as an internal medicine in Montclair, New Jersey and active in the NPI registry since October 2010. The organization lists Rekha Miryala, Md, as its authorized official.

NPPES Registry Identity

NPI1033429758
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMONTCLAIR ADULT CARE
Location Address239 CLAREMONT AVEMontclair, NJ 07042-2833
Mailing Address239 Claremont AveMontclair, NJ 07042-2833 · (973) 338-3300 · Fax (973) 338-0400
Fax(973) 338-0400
Organization SubpartNo
Authorized OfficialRekha MiryalaMd · (973) 338-3300
Enumeration DateOctober 15, 2010
Last NPPES UpdateMay 20, 2014
✔ NPI 1033429758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA08463200
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
239 CLAREMONT AVE, Montclair, NJ 07042

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Montclair Adult Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Montclair Adult Care, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1942486568
1018 BROAD STREET SUITE 8
Bloomfield, NJ 07003
(973) 338-4900
✔ PECOS✔ Accepts Medicare1.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Montclair Adult Care's NPI number?

The NPI number for Montclair Adult Care is 1033429758. It was assigned to this organization in the NPPES registry on October 15, 2010.

Where is Montclair Adult Care located?

Montclair Adult Care is located at 239 Claremont Ave, Montclair, NJ 07042. The listed phone number is (973) 338-3300.

What is Montclair Adult Care's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Montclair Adult Care enrolled in Medicare?

Yes. Montclair Adult Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Montclair Adult Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Montclair Adult Care. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Montclair Adult Care was last updated on May 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.