Montclair Family Practice LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB05438000 Issued in NJ

Legal business name

MONTCLAIR FAMILY PRACTICE LLC

Practice address

230 Sherman Ave
Suite a
Glen Ridge, NJ 07028-1529

Phone

(973) 743-2321

Fax

(973) 259-0600

NPI assigned

Feb 12, 2007

Last updated

Jun 28, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jose C. Flores, D.O.NPI 1205808300

Title

Physician, Partner

Phone

(973) 743-2321

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jose C Flores, DO

  • Family Medicine Physician
  • Glen Ridge, NJ
  • NPI 1205808300
  Authorized official Same address or phone

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340841600000",
    "number": "1598806341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 SHERMAN AVE",
            "address_2": "SUITE A",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281529",
            "telephone_number": "973-743-2321",
            "fax_number": "973-259-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 SHERMAN AVE",
            "address_2": "SUITE A",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281529",
            "telephone_number": "973-743-2321",
            "fax_number": "973-259-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTCLAIR FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2012-06-28",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PHYSICIAN, PARTNER",
        "authorized_official_telephone_number": "973-743-2321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB05438000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornel Mircea, MD
• Reema Mistry, PA-C
• Michael Louis Molinaro, MD
• Linda Ann Monaghan, RN MSN ACNP-BC
• Montclair Cardiology Group
• Montclair Gastroenterology Consultants, LLC
• Montclair Orthopaedic Group PA
• Montclair Surgical Associates, PA
• Montclair Urological Group
• Morning Star Supportive Services Corporation

• Family Medicine Physician in Glen Ridge, NJ
• Providers in Glen Ridge, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.