Montclair Pediatrics in Montclair - Adolescent Medicine
Montclair Pediatrics - NPI 1073679932
Montclair Pediatrics is a Adolescent Medicine in Montclair, New Jersey. Montclair Pediatrics practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Montclair Pediatrics is 1073679932. The last update date is 2020-08-22.
Montclair Pediatrics's current location address is 73 Park St, Montclair, New Jersey. You can contact this provider via phone number 9737467375 and fax number 9737466772. The mailing address for Montclair Pediatrics is 73 Park St, Montclair, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Montclair Pediatrics |
|---|---|
| Address | 73 Park St, Montclair, New Jersey |
| Phone Number | 9737467375 |
| Fax Number | 9737466772 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Rigtrup D. Edward |
| Credentials | M.D., F.A. |
| Telephone Number | 9737467375 |
NPI Number Detail
| NPI Number | 1073679932 |
|---|---|
| Provider Enumeration Date | 2006-12-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 73 Park St |
|---|---|
| City | Montclair |
| State | New Jersey (NJ) |
| Post Code | 70422903 |
| Phone Number | 9737467375 |
| Fax Number | 9737466772 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
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Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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What is the unique 10-digit identification code assigned to Montclair Pediatrics by the Centers for Medicare & Medicaid Services?
The Montclair Pediatrics has been issued the NPI (National Provider Identifier) 1073679932, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Montclair Pediatrics's physical address?
The Montclair Pediatrics is physically located at 73 Park St, in the city of Montclair, NJ, with the postal code 70422903.
What is Montclair Pediatrics's area of expertise and its corresponding taxonomy classification?
The Montclair Pediatrics's field of specialization is Adolescent Medicine, and it falls under the taxonomy code 2080A0000X, which categorizes healthcare providers based on their areas of practice.
On what date did Montclair Pediatrics receive its 1073679932 assignment from the Centers for Medicare & Medicaid Services?
The Montclair Pediatrics was assigned its 1073679932 on 2006-12-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Montclair Pediatrics most recently updated or revised?
The information pertaining to Montclair Pediatrics, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
NPI Number: 1316943145
Address: 4010 Mendenhall Oaks Pkwy, High Point, NC