MONTCLAIR MEDICAL ASSOCIATES LLC
NPI 1588176929
Family Medicine in Livingston, NJ

NPI Status: Active since October 25, 2017

Contact Information

290 S LIVINGSTON AVE
LIVINGSTON, NJ
ZIP 07039
Phone: (972) 592-2733

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  • Organization
  • Family Medicine
  • CLIA Number: 31D2138869
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-24-2025

About MONTCLAIR MEDICAL ASSOCIATES LLC

This page provides the complete NPI Profile along with additional information for Montclair Medical Associates Llc, a primary care provider established in Livingston, New Jersey operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1588176929 assigned on October 2017. The practitioner's primary taxonomy code is 207Q00000X with license number 25MB08472400 (NJ). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Renita Oglesby Do (Owner)

NPI
1588176929
Provider Name
MONTCLAIR MEDICAL ASSOCIATES LLC
Entity Type
Organization
Location Address
290 S LIVINGSTON AVE LIVINGSTON, NJ 07039
Location Phone
(972) 592-2733
Mailing Address
290 S LIVINGSTON AVE LIVINGSTON, NJ 07039
Mailing Phone
(972) 592-2733
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-25-2017
Last Update Date
10-25-2017
Code Navigator

A primary care provider (PCP) like Montclair Medical Associates Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
25MB08472400
License State
NJ
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QX0100XAmbulatory Health Care Facilities

Clinic/Center
Occupational Medicine

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RENITA OGLESBY DO

Authorized Official Title
OWNER
Authorized Official Phone
(973) 592-2733

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
31D2138869
Facility Type
Physician Office
Certificate Effective Date
October 25, 2023
Certificate Expiration Date
October 24, 2025
Laboratory Director
RENITA OGLESBY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Montclair Medical Associates Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1588176929, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
8
Unchanged
Pos 5
1
Doubled → 2
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
9
Unchanged
Pos 9
2
Doubled → 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 1 → 2 6 → 12 → 3 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 6 + 8 + 2 + 7 + 1 + 2 + 9 + 4 + 24 = 71

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1588176929.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Dermatology (MOHS-Micrographic Surgery)
290 S LIVINGSTON AVE, SUITE 1
LIVINGSTON, NJ 07039
Dentist (General Practice)
290 S LIVINGSTON AVE
LIVINGSTON, NJ 07039
Dentist (General Practice)
290 S LIVINGSTON AVE
LIVINGSTON, NJ 07039
Family Medicine
290 S LIVINGSTON AVE, 1ST FLOOR
LIVINGSTON, NJ 07039
Optometrist
290 S LIVINGSTON AVE
LIVINGSTON, NJ 07039
Dermatology
290 S LIVINGSTON AVE
LIVINGSTON, NJ 07039
Dentist (General Practice)
290 S LIVINGSTON AVE
LIVINGSTON, NJ 07039
Dermatology (MOHS-Micrographic Surgery)
290 S LIVINGSTON AVE, SUITE 1
LIVINGSTON, NJ 07039
Internal Medicine
290 S LIVINGSTON AVE
LIVINGSTON, NJ 07039
Community/Behavioral Health
290 S LIVINGSTON AVE
LIVINGSTON, NJ 07039

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588176929, enumerated as an "organization" on October 25, 2017.

The provider is located at 290 S LIVINGSTON AVE LIVINGSTON, NJ 07039 and the phone number is (972) 592-2733.

Family Medicine with taxonomy code 207Q00000X.