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MONTCLAIR UROLOGICAL GROUP
NPI 1104955798
Specialist in Glen Ridge, NJ

Active since March 02, 2007
777 BLOOMFIELD AVE, GLEN RIDGE, NJ 07028(973) 746-3322(973) 429-8765 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Montclair Urological Group NPPES

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

MONTCLAIR UROLOGICAL GROUP (NPI 1104955798) is a healthcare organization registered as a specialist in Glen Ridge, New Jersey and active in the NPI registry since March 2007. The organization lists Peter C Boorjian, President, as its authorized official.

NPPES Registry Identity

NPI1104955798
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMONTCLAIR UROLOGICAL GROUP
Location Address777 BLOOMFIELD AVEGlen Ridge, NJ 07028-2325
Mailing Address777 Bloomfield AveGlen Ridge, NJ 07028-2325 · (973) 746-3322 · Fax (973) 429-8765
Phone(973) 746-3322
Fax(973) 429-8765
Organization SubpartNo
Authorized OfficialPeter C BoorjianPresident · (973) 746-3322
Enumeration DateMarch 2, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104955798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NJ · MA26559
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.
777 BLOOMFIELD AVE, Glen Ridge, NJ 07028
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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

Other Providers at the Same Location NPPES 3

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

DR. OLEH BACHYNSKY M.D.
Specialist
777 BLOOMFIELD AVE
GLEN RIDGE, NJ 07028
Essex County (973) 746-3322
DR. DAVID A. GREEN M.D.
Urology
777 BLOOMFIELD AVE
GLEN RIDGE, NJ 07028
Essex County (973) 429-0462
DR. PETER CHARLES BOORJIAN M.D.,F.A.C.S.
Specialist
777 BLOOMFIELD AVE
GLEN RIDGE, NJ 07028
Essex County (973) 746-3322

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 Urological Group's NPI number?

The NPI number for Montclair Urological Group is 1104955798. It was assigned to this organization in the NPPES registry on March 2, 2007.

Where is Montclair Urological Group located?

Montclair Urological Group is located at 777 Bloomfield Ave, Glen Ridge, NJ 07028. The listed phone number is (973) 746-3322.

What is Montclair Urological Group's specialty?

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

When was this NPI record last updated?

The NPPES record for Montclair Urological Group was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.