Montclair Endocrine Associates

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

MONTCLAIR ENDOCRINE ASSOCIATES

Practice address

119 Grove St
Montclair, NJ 07042-4044

Phone

(973) 744-3733

Fax

(973) 744-6996

NPI assigned

Sep 27, 2006

Last updated

Dec 16, 2011By 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

Maris R Davis, M.D.

Title

Partner

Phone

(973) 744-3733

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1871684407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43545",
            "city": "UPPER MONTCLAIR",
            "state": "NJ",
            "postal_code": "070430545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 GROVE ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424044",
            "telephone_number": "973-744-3733",
            "fax_number": "973-744-6996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTCLAIR ENDOCRINE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MARIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "973-744-3733",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montclair Chiropractic Assoc., Inc
• Montclair Counseling Center
• Montclair Dental Spa
• Montclair Digital Dental
• Montclair Emergency Physicians LLC
• Montclair Family Eyecare
• Montclair Foot and Ankle (NJ Ankle Pain)
• Montclair Hospital LLC (Montclair Multi Speciality Health Center)
• Montclair Hospital LLC (ESRD Facility)
• Montclair Hospital LLC (Outpatient Behavioral Health Department)

• Endocrinology, Diabetes & Metabolism Physician in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Endocrinology, Diabetes & Metabolism Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; 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.