Montclair Urological Group

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA26559 Issued in NJ

Legal business name

MONTCLAIR UROLOGICAL GROUP

Practice address

777 Bloomfield Ave
Glen Ridge, NJ 07028-2325

Phone

(973) 746-3322

Fax

(973) 429-8765

NPI assigned

Mar 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Peter C Boorjian, MD

Title

President

Phone

(973) 746-3322

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Saidi, M.D.

  • Urology Physician
  • Glen Ridge, NJ
  • NPI 1194792820

  Specialist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104955798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 BLOOMFIELD AVE",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070282325",
            "telephone_number": "973-746-3322",
            "fax_number": "973-429-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 BLOOMFIELD AVE",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070282325",
            "telephone_number": "973-746-3322",
            "fax_number": "973-429-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTCLAIR UROLOGICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOORJIAN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-746-3322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA26559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montclair Cardiology Group
• Montclair Family Practice LLC
• Montclair Gastroenterology Consultants, LLC
• Montclair Orthopaedic Group PA
• Montclair Surgical Associates, PA
• Morning Star Supportive Services Corporation
• Tara L Moyle
• Jessica Hope Muney
• George Naaman, MD, DO
• Kulvir Singh Nandra, M.D.

• Specialist in Glen Ridge, NJ
• Providers in Glen Ridge, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.