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INTERNAL MEDICINE DEPARTMENT
NPI 1487802930
Clinic/Center - Primary Care in Montclair, NJ

Active since September 08, 2008
1 BAY AVE, MONTCLAIR, NJ 07042(973) 429-6196(973) 429-6565 Get Directions Write a Review

NPPES record last updated: June 11, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Internal Medicine Department NPPES

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

INTERNAL MEDICINE DEPARTMENT (NPI 1487802930) is a healthcare organization registered as a primary care in Montclair, New Jersey and active in the NPI registry since September 2008. The organization lists Joe Johnson, Vice President, as its authorized official.

NPPES Registry Identity

NPI1487802930
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMONTCLAIR HOSPITAL LLC
Location Address1 BAY AVEMontclair, NJ 07042-4837
Mailing Address1 Bay AveMontclair, NJ 07042-4837 · (973) 429-6000 · Fax (973) 429-6209
Phone(973) 429-6196
Fax(973) 429-6565
Organization SubpartYes
Authorized OfficialJoe JohnsonVice President · (866) 465-9222
Enumeration DateSeptember 8, 2008
Last NPPES UpdateJune 11, 2013
✔ NPI 1487802930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1 BAY AVE, Montclair, NJ 07042
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Other Names 1

Doing Business AsInternal Medicine Department

Other Identifiers 1

Medicare OSCAR/certification310054NJ

Accepted Insurance

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

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.

SAMRAH GHANI MD
Student in an Organized Health Care Education/Training Program
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (862) 333-4700
JACLYN TAYLOR SCHMITZ
Student in an Organized Health Care Education/Training Program
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (973) 429-6888
MYINT KYI M.D.
Anesthesiology
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (973) 429-6219
EDWARD PETRARCA LCSW
Social Worker (Clinical)
1 BAY AVE, MOUNTAINSIDE HOSPITAL
MONTCLAIR, NJ 07042
Essex County (973) 429-6813
ANN FRANCES VALLONE NURSE PRACTITIONER
Nurse Practitioner (Adult Health)
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (973) 429-6272
ANN SAMIR YASIN IBRAHIM
Student in an Organized Health Care Education/Training Program
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (862) 333-4700
GEORGE JAMES ZACH
Dentist
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (973) 429-6888
MRS. ESTHER D. BAXAM-SPENCE RN, MSN, CNNP
Nurse Practitioner (Neonatal)
1 BAY AVE
MONTCLAIR, NJ 07042
Essex County (973) 429-6991

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 1487802930. It was assigned to this organization in the NPPES registry on September 8, 2008. The provider is doing business as Internal Medicine Department.

Where is Montclair Hospital LLC located?

Montclair Hospital LLC is located at 1 Bay Ave, Montclair, NJ 07042. The listed phone number is (973) 429-6196.

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.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.