MONTCLAIR STATE CLINICAL SERVICES GROUP
NPI 1902346877
Clinic/Center in Montclair, NJ

Active since February 27, 2017
1 NORMAL AVENUE, DIVISION OF FINANCE, MONTCLAIR, NJ 07043(973) 655-5105(973) 655-7643 Get Directions Write a Review

NPPES record last updated: May 20, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 20, 2020, Feb 27, 2017 (2 updates tracked since 2017).

About Montclair State Clinical Services Group NPPES

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

MONTCLAIR STATE CLINICAL SERVICES GROUP (NPI 1902346877) is a healthcare organization registered as a clinic/center in Montclair, New Jersey and active in the NPI registry since February 2017. The organization lists Donna Mcmonagle, Vice President For Finance, as its authorized official.

NPPES Registry Identity

NPI1902346877
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMONTCLAIR STATE UNIVERSITY
Location Address1 NORMAL AVENUE, DIVISION OF FINANCEMontclair, NJ 07043
Mailing Address1 Normal Avenue, Division Of FinanceMontclair, NJ 07043 · (973) 655-5105 · Fax (973) 655-7643
Fax(973) 655-7643
Organization SubpartNo
Authorized OfficialDonna McmonagleVice President For Finance · (973) 655-7365
Enumeration DateFebruary 27, 2017
Last NPPES UpdateMay 20, 20202 updates tracked since enumeration
NPPES CertifiedMay 20, 2020
✔ NPI 1902346877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1 NORMAL AVENUE, Montclair, NJ 07043

Other Names 1

Doing Business AsMontclair State Clinical Services Group

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Montclair State Clinical Services Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Montclair State Clinical Services Group, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Qualified Audiologist
NPI 1730477894
1515 BROAD ST BUILDING B
Bloomfield, NJ 07003
(973) 655-4000
1.3 mi
Qualified Audiologist
NPI 1235282401
51 ROUTE 23 SOUTH
Riverdale, NJ 07457
(973) 831-1220
✔ Accepts Medicare11 mi
Qualified Audiologist
NPI 1306143524
6 GENESEE TRL
Westfield, NJ 07090
(908) 389-0911
17 mi
Qualified Audiologist
NPI 1962675132
37 CLYDE RD SUITE 103
Somerset, NJ 08873
(732) 873-6863
30 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 State University's NPI number?

The NPI number for Montclair State University is 1902346877. It was assigned to this organization in the NPPES registry on February 27, 2017. The provider is doing business as Montclair State Clinical Services Group.

Where is Montclair State University located?

Montclair State University is located at 1 Normal Avenue Division Of Finance, Montclair, NJ 07043. The listed phone number is (973) 655-5105.

What is Montclair State University's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Montclair State University enrolled in Medicare?

Yes. Montclair State University is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Montclair State University?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Qualified Audiologist, reassign their Medicare billing to Montclair State University. 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Montclair State University was last updated on May 20, 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.