Organization Active NPI

ND Concierge Medicine PC

  • Internal Medicine Physician
  • Montclair, NJ
National Provider Identifier
1952119802
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ND CONCIERGE MEDICINE PC
Practice address
120 Stonebridge Rd
Montclair, NJ 07042-1635
Phone
(347) 277-8324
NPI assigned
Dec 24, 2024
Last updated
Nov 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Authorized official

Name
Dr. Nonkulie Dladla, MD, MSNPI 1083836894
Title
Ceo
Phone
(917) 951-0792

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

120 Stonebridge Rd
Montclair, NJ 07042-1635

Mailing address

120 Stonebridge Rd
Montclair, NJ 07042-1635
Phone (347) 277-8324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251218004030 NY Part B Supplier - Clinic/Group Practice 0143715938 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1734998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762300800000",
    "number": "1952119802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 STONEBRIDGE RD",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070421635",
            "telephone_number": "347-277-8324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 STONEBRIDGE RD",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070421635",
            "telephone_number": "347-277-8324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ND CONCIERGE MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-24",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A",
        "authorized_official_last_name": "DLADLA",
        "authorized_official_first_name": "NONKULIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-951-0792",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, MS"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.