Montclair Gastroenterology Consultants, LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MA068787 Issued in NJ

Legal business name

MONTCLAIR GASTROENTEROLOGY CONSULTANTS, LLC

Practice address

200 Highland Ave
Suite 110
Glen Ridge, NJ 07028-1528

Phone

(973) 748-9166

Fax

(973) 748-1373

NPI assigned

Jun 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sangbaek Charles Oh, M.D.NPI 1578513131

Title

Owner

Phone

(973) 748-9166

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.

• Sangbaek Charles Oh, MD

  • Gastroenterology Physician
  • Glen Ridge, NJ
  • NPI 1578513131
  NPD (past) Authorized official

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336343185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 590",
            "city": "FRANKLIN LAKES",
            "state": "NJ",
            "postal_code": "074170590",
            "telephone_number": "973-748-9166",
            "fax_number": "973-748-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HIGHLAND AVE",
            "address_2": "SUITE 110",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281528",
            "telephone_number": "973-748-9166",
            "fax_number": "973-748-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTCLAIR GASTROENTEROLOGY CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OH",
        "authorized_official_first_name": "SANGBAEK",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-748-9166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "MA068787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reema Mistry, PA-C
• Michael Louis Molinaro, MD
• Linda Ann Monaghan, RN MSN ACNP-BC
• Montclair Cardiology Group
• Montclair Family Practice LLC
• Montclair Orthopaedic Group PA
• Montclair Surgical Associates, PA
• Montclair Urological Group
• Morning Star Supportive Services Corporation
• Tara L Moyle

• Gastroenterology Physician in Glen Ridge, NJ
• Providers in Glen Ridge, NJ by specialty
• Gastroenterology Physician 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.