Organization Active NPI

Naomi S Grobstein

Doing business as Family Health Center of Montclair

  • Family Medicine Physician
  • Montclair, NJ
National Provider Identifier
1356527998
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA03933400 Issued in NJ
Legal business name
NAOMI S GROBSTEIN
Doing business as
Family Health Center of Montclair
Practice address
48 Fairfield St
Montclair, NJ 07042-4137
Phone
(973) 744-8511
Fax
(973) 744-6356
NPI assigned
Jan 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
Ms. Deborah Ticke
Title
Office Manager
Phone
(973) 744-8511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 25MA03933400 NJ Primary

Addresses

Primary practice location

48 Fairfield St
Montclair, NJ 07042-4137

Mailing address

48 Fairfield St
Montclair, NJ 07042-4137
Phone (973) 744-8511

Other names 1

  • Family Health Center of Montclair Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1356527998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 FAIRFIELD ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424137",
            "telephone_number": "973-744-8511",
            "fax_number": "973-744-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 FAIRFIELD ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424137",
            "telephone_number": "973-744-8511",
            "fax_number": "973-744-6356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAOMI S GROBSTEIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "TICKE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-744-8511",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA03933400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health Center of Montclair",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.