MONTCLAIR STATE UNIVERSITY OCCUPATIONAL HEALTH (NPI# 1376144790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376144790 |
| Entity Type | Organization |
| Organization Name | MONTCLAIR STATE UNIVERSITY OCCUPATIONAL HEALTH |
| Practice Address |
1 Normal Avenue Blanton Hall Montclair NJ 07043-1624 |
| Practice Telephone | 9736555014 |
| Mailing Telephone | 9736555014 |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |
| Authorized Official Name | DR. GREGG SUMMERVILLE (OCCUPATIONAL HEALTH PHYSICIAN) |
| Authorized Official Telephone | 9736555014 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | MONTCLAIR STATE UNIVERSITY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities |
| Street Address |
1 NORMAL AVENUE BLANTON HALL |
| City | MONTCLAIR |
| State | NJ |
| Zip Code | 07043-1624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902346877 | Montclair State University | Clinic/Center | 1 Normal Avenue, Division of Finance, Montclair, NJ 07043 | 2017-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205314499 | Julia Hahn | Counselor | 161 Gordonhurst Avenue, Montclair, NJ 07043 | 2018-07-31 |
| 1770940199 | Montclair Performance Health and Chiropractic Inc | Chiropractor | 546 Valley Rd., Suite 103, Montclair, NJ 07043 | 2016-01-16 |
| 1881080885 | Rosalie Cespedes | Social Worker | 622 Valley Rd Ste 5e, Montclair, NJ 07043 | 2015-04-07 |
| 1629310537 | Kinder Smile Foundation | Dentist | 248 Lorraine Ave -, Suite #12, Upper Montclair, NJ 07043 | 2013-03-19 |
| 1760792402 | Deepti-sagar Varma | Psychiatry & Neurology | 210 Bellevue Avenue, Upper Montclair, NJ 07043 | 2010-10-15 |
| 1063733004 | Center for Counseling and Wellness, LLC | Community/Behavioral Health | 622-624 Valley Road, Suite 6, Upper Montclair, NJ 07043 | 2010-06-14 |
| 1346483286 | Cindy Marlene Sherman | Counselor | 18 Aubrey Road, Montclair, NJ 07043 | 2009-04-08 |
| 1831396977 | Michele D Vallone | Social Worker | One Bellevue Address, Suite 7, Upper Montclair, NJ 07043 | 2007-07-02 |
| 1497979132 | Montclair State University Health Center | Clinic/Center | One Normal Ave, Montclair State University Health Center, Montclair, NJ 07043 | 2007-04-12 |
| 1336284652 | Katalin Gordon | Acupuncturist | 605 Valley Road, Montclair, NJ 07043 | 2007-02-21 |
| Find all providers in zip 07043 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699984 | Capital Health Occupational Health Center | Clinic/Center | 4065 Quakerbridge Rd Ste 104, Princeton Junction, NJ 08550-5243 | 2020-11-05 |
| 1376985515 | Comprehensive Medical Associates of New Jersey P C | Clinic/Center | 1 Campbell Pl # 35, Camden, NJ 08103-1701 | 2013-07-29 |
| 1861609877 | Ocean Medical Service, Inc | Clinic/Center | 2001 Route 37 E, Toms River, NJ 08753-7168 | 2007-05-17 |
| 1952459141 | Cornerstone Rehabilitation Services Inc. | Clinic/Center | 133 Atlantic Street, #1, Hackensack, NJ 07601-4133 | 2007-01-06 |
| 1588176929 | Montclair Medical Associates LLC | Clinic/Center | 290 S Livingston Ave, Livingston, NJ 07039-3931 | 2017-10-25 |
| 1578948121 | Everest Ucc Wayne LLC | Clinic/Center | 705 Hamburg Tpke, Wayne, NJ 07470-2098 | 2015-07-24 |
| 1134504772 | Daniel Edwards Do PC | Clinic/Center | 705 Hamburg Tpke, Wayne, NJ 07470-2098 | 2015-07-24 |
| 1205232014 | Inspira Health Network Urgent Care PC | Clinic/Center | 1038 E Chestnut Ave, Suite 120, Vineland, NJ 08360-5800 | 2014-11-06 |
| 1013346907 | Occupational Health Centers of New Jersey, Pa | Clinic/Center | 190 Baldwin Road, Suite B, Parsippany, NJ 07054 | 2013-11-01 |
| 1861768111 | South Jersey Hospital, Inc. | Clinic/Center | 201 Tomlin Station Rd, Suite D, Mullica Hill, NJ 08062-1612 | 2012-03-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.