MONTCLAIR MULTI SPECIALITY HEALTH CENTER
NPI 1093095184
Specialist in Montclair, NJ

Active since August 22, 2011
1 BAY AVE, MONTCLAIR, NJ 07042(973) 429-6002 Get Directions Write a Review

NPPES record last updated: November 17, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Montclair Multi Speciality Health Center NPPES

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

MONTCLAIR MULTI SPECIALITY HEALTH CENTER (NPI 1093095184) is a healthcare organization registered as a specialist in Montclair, New Jersey and active in the NPI registry since August 2011. The organization lists Joe Johnson, Officer, as its authorized official.

NPPES Registry Identity

NPI1093095184
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMONTCLAIR HOSPITAL LLC
Location Address1 BAY AVEMontclair, NJ 07042-4837
Mailing Address2400 Dallas Pkwy, Suite 450Plano, TX 75093-4370
Organization SubpartNo
Authorized OfficialJoe JohnsonOfficer · (866) 465-9222
Enumeration DateAugust 22, 2011
Last NPPES UpdateNovember 17, 2016
✔ NPI 1093095184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1 BAY AVE, Montclair, NJ 07042

Other Names 1

Doing Business AsMontclair Multi Speciality Health Center

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

Accepted Insurance

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 Multi Speciality Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Montclair Multi Speciality Health Center, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1053188391
1 BAY AVE
Montclair, NJ 07042
(973) 429-6096
✔ PECOS0.4 mi
Nurse Practitioner
NPI 1891517942
1 BAY AVE
Montclair, NJ 07042
(973) 429-6000
✔ PECOS0.4 mi
Gynecological Oncology
NPI 1578727574
92 2ND ST
Hackensack, NJ 07601
(551) 996-5374
✔ PECOS✔ Accepts Medicare9.0 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 Hospital LLC's NPI number?

The NPI number for Montclair Hospital LLC is 1093095184. It was assigned to this organization in the NPPES registry on August 22, 2011. The provider is doing business as Montclair Multi Speciality Health Center.

Where is Montclair Hospital LLC located?

Montclair Hospital LLC is located at 1 Bay Ave, Montclair, NJ 07042. The listed phone number is (973) 429-6002.

What is Montclair Hospital LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Montclair Hospital LLC enrolled in Medicare?

Yes. Montclair Hospital LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Montclair Hospital LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Montclair Hospital LLC, in Gynecological Oncology and Nurse Practitioner. 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Montclair Hospital LLC accept?

Health plans from Oscar Health list Montclair Hospital LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Montclair Hospital LLC was last updated on November 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.