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MOUNTAINSIDE FAMILY PRACTICE ASSOCIATES
NPI 1295983484
Clinic/Center - Primary Care in Verona, NJ

Active since September 03, 2008CLIA 31D0681859 · Waiver
799 BLOOMFIELD AVE, SUITE 201, VERONA, NJ 07044(973) 746-7050(973) 857-2831 Get Directions Write a Review

NPPES record last updated: June 11, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mountainside Family Practice Associates NPPES

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

MOUNTAINSIDE FAMILY PRACTICE ASSOCIATES (NPI 1295983484) is a healthcare organization registered as a primary care in Verona, New Jersey and active in the NPI registry since September 2008. The organization holds a CLIA Waiver certificate valid through June 14, 2027 and lists Joe Johnson, Vice President, as its authorized official.

NPPES Registry Identity

NPI1295983484
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMONTCLAIR HOSPITAL LLC
Location Address799 BLOOMFIELD AVE, SUITE 201Verona, NJ 07044-1367
Mailing Address799 Bloomfield Ave, Suite 201Verona, NJ 07044
Phone(973) 746-7050
Fax(973) 857-2831
Organization SubpartYes
Authorized OfficialJoe JohnsonVice President · (866) 465-9222
Enumeration DateSeptember 3, 2008
Last NPPES UpdateJune 11, 2013
✔ NPI 1295983484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NJ · 10766
799 BLOOMFIELD AVE, Verona, NJ 07044
Open in Google Maps ↗

Other Names 1

Doing Business AsMountainside Family Practice Associates

Other Identifiers 2

Medicare PIN0139564NJ
Other10766NJ · State License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D0681859

Mountainside Family Practice Associates · Verona, NJ
Active · expires Jun 14, 2027
CLIA Number31D0681859
Laboratory TypeOther
Certificate Effective DateJune 15, 2025
Certificate Expiration DateJune 14, 2027
Laboratory DirectorKevin Berg
Laboratory Phone(973) 746-7050
Laboratory LocationMountainside Family Practice Associates799 Bloomfield Avenue, Suite 201, Verona, NJ 07044
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

EVERETT SCHLAM MD
Family Medicine
799 BLOOMFIELD AVE
VERONA, NJ 07044
Essex County (973) 971-5595
AMNA VAHIDY MEHMOOD PA-C
Physician Assistant
799 BLOOMFIELD AVE, SUITE 301
VERONA, NJ 07044
Essex County (973) 826-4920
MRS. ELIZABETH M MAC EWEN LCSW
Social Worker (Clinical)
799 BLOOMFIELD AVE, SUITE 300, 3RD FLOOR
VERONA, NJ 07044
Essex County (973) 429-6130
MS. CARMELYN D. TOBIN P.T.
Physical Therapist
799 BLOOMFIELD AVE
VERONA, NJ 07044
Essex County (973) 259-3585
DR. KEVIN JAMES BERG MD
Family Medicine (Geriatric Medicine)
799 BLOOMFIELD AVE, SUITE 201
VERONA, NJ 07044
Essex County (973) 746-7050
VERONA WOMEN'S HEALTH
Obstetrics & Gynecology
799 BLOOMFIELD AVE, STE 301
VERONA, NJ 07044
Essex County (973) 826-4920
FRANCIS OPPONG MD, MPH
Family Medicine
799 BLOOMFIELD AVE
VERONA, NJ 07044
Essex County (973) 259-3563
RAGHEDA SABA MD
Pediatrics
799 BLOOMFIELD AVE
VERONA, NJ 07044
Essex County (973) 971-5595

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 1295983484. It was assigned to this organization in the NPPES registry on September 3, 2008. The provider is doing business as Mountainside Family Practice Associates.

Where is Montclair Hospital LLC located?

Montclair Hospital LLC is located at 799 Bloomfield Ave Suite 201, Verona, NJ 07044. The listed phone number is (973) 746-7050.

What is Montclair Hospital LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Montclair Hospital LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0681859) is associated with this NPI, valid through June 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Montclair Hospital LLC accept?

Health plans from Ambetter Health and Ambetter Health of Delaware 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 June 11, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.