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MONTCLAIR STATE UNIVERSITY OCCUPATIONAL HEALTH
NPI 1376144790
Clinic/Center - Occupational Medicine in Montclair, NJ

Active since November 03, 2020
1 NORMAL AVENUE, BLANTON HALL, MONTCLAIR, NJ 07043(973) 655-5014 Get Directions Write a Review

NPPES record last updated: November 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Montclair State University Occupational Health NPPES

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

MONTCLAIR STATE UNIVERSITY OCCUPATIONAL HEALTH (NPI 1376144790) is a healthcare organization registered as an occupational medicine in Montclair, New Jersey and active in the NPI registry since November 2020. The organization lists Gregg Summerville, Occupational Health Physician, as its authorized official.

NPPES Registry Identity

NPI1376144790
Entity TypeOrganization
Primary Taxonomy261QX0100X
Legal Business NameMONTCLAIR STATE UNIVERSITY OCCUPATIONAL HEALTH
Location Address1 NORMAL AVENUE, BLANTON HALLMontclair, NJ 07043-1624
Mailing Address1 Normal Avenue, Blanton HallMontclair, NJ 07043-1624 · (973) 655-5014
Phone(973) 655-5014
Organization SubpartYesParent: Montclair State University
Authorized OfficialGregg SummervilleOccupational Health Physician · (973) 655-5014
Enumeration DateNovember 3, 2020
NPPES CertifiedNovember 3, 2020
✔ NPI 1376144790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities
Taxonomy Code261QX0100X
1 NORMAL AVENUE, Montclair, NJ 07043
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Other Providers at the Same Location NPPES 2

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

CYNTHIA K DORMANN ATC
Specialist/Technologist (Athletic Trainer)
1 NORMAL AVENUE, INTERCOLLEGIATE ATHLETICS
MONTCLAIR, NJ 07043
Essex County (201) 953-1045
MONTCLAIR STATE UNIVERSITY
Clinic/Center
1 NORMAL AVENUE, DIVISION OF FINANCE
MONTCLAIR, NJ 07043
Essex County (973) 655-5105

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 State University Occupational Health's NPI number?

The NPI number for Montclair State University Occupational Health is 1376144790. It was assigned to this organization in the NPPES registry on November 3, 2020.

Where is Montclair State University Occupational Health located?

Montclair State University Occupational Health is located at 1 Normal Avenue Blanton Hall, Montclair, NJ 07043. The listed phone number is (973) 655-5014.

What is Montclair State University Occupational Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Occupational Medicine, with taxonomy code 261QX0100X.

When was this NPI record last updated?

The NPPES record for Montclair State University Occupational Health was last updated on November 3, 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.