MONTCLAIR SURGICAL ASSOCIATES, PA
NPI 1770633109
Surgery in Glen Ridge, NJ

Active since January 10, 2007
123 HIGHLAND AVE, GLEN RIDGE, NJ 07028(973) 429-1200(973) 429-7602 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Montclair Surgical Associates, Pa NPPES

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

MONTCLAIR SURGICAL ASSOCIATES, PA (NPI 1770633109) is a healthcare organization registered as a surgery in Glen Ridge, New Jersey and active in the NPI registry since January 2007. The organization lists Robert J Barbalinardo, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1770633109
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameMONTCLAIR SURGICAL ASSOCIATES, PA
Location Address123 HIGHLAND AVEGlen Ridge, NJ 07028-1527
Mailing Address123 Highland AveGlen Ridge, NJ 07028-1527 · (973) 429-1200 · Fax (973) 429-7602
Fax(973) 429-7602
Organization SubpartNo
Authorized OfficialRobert J BarbalinardoManaging Director · (973) 429-1200
Enumeration DateJanuary 10, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1770633109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
123 HIGHLAND AVE, Glen Ridge, NJ 07028

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Montclair Surgical Associates, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20040928000866Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Montclair Surgical Associates, PA, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

General Surgery
NPI 1942350418
123 HIGHLAND AVE
Glen Ridge, NJ 07028
(973) 429-1200
✔ PECOSSame address
General Surgery
NPI 1942350426
123 HIGHLAND AVE
Glen Ridge, NJ 07028
(973) 429-1200
✔ PECOSSame address
General Surgery
NPI 1497805832
123 HIGHLAND AVE
Glen Ridge, NJ 07028
(973) 429-1200
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1831249275
123 HIGHLAND AVE
Glen Ridge, NJ 07028
(973) 429-1200
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1992039085
30 PROSPECT AVE
Hackensack, NJ 07601
(551) 996-2625
✔ PECOS✔ Accepts Medicare9.3 mi
General Surgery
NPI 1497289342
1060 5TH AVE # 1B
New York, NY 10128
(212) 988-8269
✔ PECOS13 mi
General Surgery
NPI 1417334855
150 55TH ST DEPARTMENT OF SURGERY - LUTHERAN MEDICAL CENTER
Brooklyn, NY 11220
(718) 630-7351
✔ PECOS✔ Accepts Medicare15 mi
General Surgery
NPI 1215468608
707 E MAIN ST
Middletown, NY 10940
(845) 333-6333
✔ PECOS✔ Accepts Medicare44 mi
General Surgery
NPI 1497318851
1140 NJ 72
Manahawkin, NJ 08050
(609) 597-6011
✔ PECOS✔ Accepts Medicare75 mi

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 Surgical Associates, PA's NPI number?

The NPI number for Montclair Surgical Associates, PA is 1770633109. It was assigned to this organization in the NPPES registry on January 10, 2007.

Where is Montclair Surgical Associates, PA located?

Montclair Surgical Associates, PA is located at 123 Highland Ave, Glen Ridge, NJ 07028. The listed phone number is (973) 429-1200.

What is Montclair Surgical Associates, PA's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Montclair Surgical Associates, PA enrolled in Medicare?

Yes. Montclair Surgical Associates, PA is registered in the Medicare PECOS enrollment system.

When is Montclair Surgical Associates, PA's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Montclair Surgical Associates, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians, all in General Surgery, reassign their Medicare billing to Montclair Surgical Associates, PA. 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. Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Montclair Surgical Associates, PA accept?

Health plans from Oscar Health list Montclair Surgical Associates, PA 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 Surgical Associates, PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.