Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MONTCLAIR BREAST CENTER PC
NPI 1053367334
Surgery in Montclair, NJ

Q: What is Montclair Breast Center PC's NPI number?

The NPI number for Montclair Breast Center PC is 1053367334. It was assigned to this organization in the NPPES registry on May 26, 2006.

Q: What is Montclair Breast Center PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since May 26, 2006

37 NO FULLERTON AVENUE, MONTCLAIR BREAST CENTER PC, MONTCLAIR, NJ 07042(973) 509-1818(973) 509-0708 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 9, 2026, Mar 2, 2026, Sep 16, 2022 and 1 more (4 updates tracked since 2022).

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About Montclair Breast Center Pc NPPES

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

MONTCLAIR BREAST CENTER PC (NPI 1053367334) is a healthcare organization registered as a surgery in Montclair, New Jersey and active in the NPI registry since May 2006. The organization lists Jackie L Hernandez, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1053367334

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameMONTCLAIR BREAST CENTER PC

Location Address37 NO FULLERTON AVENUE, MONTCLAIR BREAST CENTER PCMontclair, NJ 07042-3426

Mailing Address37 N Fullerton AveMontclair, NJ 07042-3426 · (973) 509-1818 · Fax (973) 509-0532

Phone(973) 509-1818

Fax(973) 509-0708

Organization SubpartNo

Authorized OfficialJackie L HernandezBilling Manager · (973) 744-0604

Enumeration DateMay 26, 2006

Last NPPES UpdateJuly 9, 20264 updates tracked since enumeration

NPPES CertifiedJuly 9, 2026

✔ NPI 1053367334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X

Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X

37 NO FULLERTON AVENUE, Montclair, NJ 07042

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Other Identifiers 2

Other23317NJ · Fda Mri

Other126219NJ · Fda Radiology

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOO YOUNG MELISSA LEE MD

Radiology (Diagnostic Radiology)

37 NO FULLERTON AVENUE, MONTCLAIR BREAST CENTER
MONTCLAIR, NJ 07042

Essex County (973) 509-1818

MARCIE BREGMAN HERTZ MD

Surgery

37 NO FULLERTON AVENUE, MONTCLAIR BREAST CENTER
MONTCLAIR, NJ 07042

Essex County (973) 509-1818

NANCY LYNN ELLIOTT MD

Surgery

37 NO FULLERTON AVENUE, MONTCLAIR BREAST CENTER
MONTCLAIR, NJ 07042

Essex County (973) 509-1818

MARY BETH HANS PA

Physician Assistant

37 NO FULLERTON AVENUE, MONTCLAIR BREAST CENTER
MONTCLAIR, NJ 07042

Essex County (973) 509-1818

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 Breast Center PC's NPI number?

The NPI number for Montclair Breast Center PC is 1053367334. It was assigned to this organization in the NPPES registry on May 26, 2006.

Where is Montclair Breast Center PC located?

Montclair Breast Center PC is located at 37 No Fullerton Avenue Montclair Breast Center PC, Montclair, NJ 07042. The listed phone number is (973) 509-1818.

What is Montclair Breast Center PC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Montclair Breast Center PC was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.