Montclair Pediatrics

Key facts

NPI

1073679932

Entity type

Organization (NPI type 2)

Primary specialty

Pediatric Adolescent Medicine Physician 2080A0000X

Legal business name

MONTCLAIR PEDIATRICS

Practice address

73 Park St
Montclair, NJ 07042-2903

Phone

(973) 746-7375

Fax

(973) 746-6772

NPI assigned

Dec 28, 2006

Organization subpart

No

Authorized official

Name

Dr. Edward D. Rigtrup, M.D., F.A.A.P.

Title

Owner

Phone

(973) 746-7375

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073679932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422903",
            "telephone_number": "973-746-7375",
            "fax_number": "973-746-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 PARK ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422903",
            "telephone_number": "973-746-7375",
            "fax_number": "973-746-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTCLAIR PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIGTRUP",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-746-7375",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., F.A.A.P."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

• Montclair Hospital LLC
• Montclair Hospital LLC
• Montclair Hospital, LLC
• Montclair Memory Clinic LLC
• Montclair Pathology Associates, PA
• Montclair Performance Health and Chiropractic Inc
• Montclair Physical Therapy Associates PA
• Montclair Physicians Group
• Montclair Public Schools
• Montclair Rehab Services, LLC

All providers in Montclair, NJ · Pediatric Adolescent Medicine Physician in New Jersey