Michael M Habib – Physician Assistant

Key facts

NPI: 1740173459
Entity type: Individual (NPI type 1)
Primary specialty: Physician Assistant 363A00000X
License: 25MP00954500 (NJ)
Practice address: 60 Prospect Ave
Middletoen, NY 10940
Phone: (845) 648-1100
NPI assigned: May 31, 2025
Sex: Male
Sole proprietor: Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Emergency Associates of Montclair LLC Emergency Medicine Physician · Montclair, NJ · NPI 1598112146

Medicare reassignment Care Compare group NPD NJ
Stadium Emergency Associates Emergency Medical Services (Emergency Medicine) Physician · Secaucus, NJ · NPI 1205293693

Medicare reassignment NPD NJ

Medicare Care Compare profile

Specialty: Physician Assistant
Education: Other, 2025
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Emergency Associates of Montclair LLC (24 clinicians)

Practice addresses (Care Compare)

300 Central Ave
East Orange, NJ 07018-2819
Phone (973) 672-8400

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NJ
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20251028004767	NJ	Practitioner - Physician Assistant	9739678947	Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Physician Assistant

State licenses

License	State	Type	Specialty
25MP00954500	NJ	MD	Physician Assistant

Practice roles

Organization	Specialty	Status	New patients
Emergency Associates of Montclair LLC		Current since Aug 25, 2025	Accepting new patients
Stadium Emergency Associates		Current since Aug 25, 2025	Accepting new patients

Locations

300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

230 E Ridgewood Ave
Paramus, NJ 07652
Phone (201) 225-4700

55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744

66 W Gilbert St
Tinton Falls, NJ 07701
Phone (732) 212-0051

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physician Assistant	363A00000X	25MP00954500	NJ	Yes

Addresses

Primary practice location

60 Prospect Ave
Middletoen, NY 10940

Mailing address

317 Travis Ave
Staten Island, NY 10314-6237
Phone (646) 577-0459

Other practice location 1

707 E Main St
Middletown, NY 10940
Phone (845) 333-1000

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.