INTERNAL MEDICINE DEPARTMENT
NPI 1487802930
Clinic/Center - Primary Care in Montclair, NJ
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
Specialties & Licenses
Other Names 1
Other Identifiers 1
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)
Internal Medicine Department is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Internal Medicine Department, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
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 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.
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), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Montclair Hospital LLC. 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. The largest specialties are Internal Medicine (7) and Hospitalist (2). Of these, 3 practice at this address and 7 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 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.
# Internal Medicine Department · NPI 1487802930
Primary Care organization in Montclair, New Jersey. Organization record, active in the CMS NPPES registry since September 8, 2008.
## Identity
- **NPI:** 1487802930 (Entity type: Organization)
- **Enumerated:** September 8, 2008
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Legal business name:** Montclair Hospital Llc
- **Organization subpart:** Yes (part of Montclair Hospital Llc)
- **Authorized official:** Joe Johnson, VICE PRESIDENT
## Practice location
- **Address:** 1 BAY AVE, Montclair, NJ 07042-4837
- **Phone:** (973) 429-6196 · **Fax:** (973) 429-6565
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (7), Hospitalist (2); 3 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 11, 2013
- **Other identifiers:** Medicare OSCAR/certification 310054 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1487802930) · Data from the CMS NPPES public registry.