Mountainside Family Practice Associates

LBN: Montclair Hospital Llc
Mountainside Family Practice Associates is an health care organization with primary practice located at 799 Bloomfield Ave Suite 201, Verona NJ 07044-1367. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Montclair Hospital Llc can be contacted via phone (973) 746-7050, or through Johnson, Joe via phone (866) 465-9222.

Contact Information

Primary practice address
799 Bloomfield Ave Suite 201 Verona NJ 07044-1367
Phone: (973) 746-7050
Fax: (973) 857-2831
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Joe
Phone: (866) 465-9222

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 10766 New Jersey

Profile Details

NPI number 1295983484
LBN Legal business name Montclair Hospital Llc
DBA Doing business as Mountainside Family Practice Associates
Authorized official Johnson, Joe
Entity Organization
Organization subpart 1 Yes
Enumeration date Sep 3rd, 2008
Last updated Jun 11th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295983484 NPPES
New Jersey Other 10766 STATE LICENSE NUMBER

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