NPIMap

Organization Active NPI

Montclair Hospital LLC

Doing business as HackensackUMC Mountainside

  • General Acute Care Hospital
  • Montclair, NJ
National Provider Identifier
1982720249
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
MONTCLAIR HOSPITAL LLC
Doing business as
HackensackUMC Mountainside
Practice address
1 Bay Avenue
Montclair, NJ 07042-4837
Phone
(973) 429-6451
Fax
(973) 429-6209
NPI assigned
Mar 21, 2007
Last updated
Jun 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Authorized official

Name
Joe Johnson
Title
Vice President
Phone
(866) 465-9222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NJ Primary

Addresses

Primary practice location

1 Bay Avenue
Montclair, NJ 07042-4837

Mailing address

1 Bay Avenue
Administration - 3Rd Floor
Montclair, NJ 07042-4837
Phone (973) 429-6000

Other identifiers 1

IdentifierTypeStateIssuer
0139564MedicaidNJ

Other names 1

  • HackensackUMC Mountainside Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070419000698 NJ Part A Provider - Hospital 7810092814 Practice locations: Montclair, NJ
O20210525002424 NJ Part A Provider - Hospital 7810092814 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Montclair, NJ

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1982720249. Details of each certification follow.

Hospital certification: CCN 310054

Legal name
MONTCLAIR HOSPITAL LLC
Doing business as
HACKENSACK MERIDIAN HEALTH, MOUNTAINSIDE MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 21, 2025
Beds
328
Ownership / control type
Private (for profit)
Most recent change of ownership
Jun 1, 2007 (1 total)
Organization structure
LLCProprietary
Enrollment address
1 Bay Ave
Montclair, NJ 70424837
Main/Primary Hospital Location
Hospital subgroups
Acute care

Hospital certification: CCN 31S054

Legal name
MONTCLAIR HOSPITAL LLC
Doing business as
HACKENSACK MERIDIAN HEALTH, MOUNTAINSIDE MEDICAL CENTER
Organization structure
LLCProprietary
Enrollment address
1 Bay Ave
Hackensack Umc Mountainside
Montclair, NJ 70424837
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Hackensack Meridian Mountainside MedicalCCN 310054 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Montclair Hospital LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
LHP Montclair LLC Organization, Brentwood, TN LLC, For-profit 5% Or Greater Indirect Ownership Interest Jul 1, 2012 80%
Ardent Health Inc Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Mar 13, 2017 80%
Martin Bonick Individual Corporate OfficerCeo-Chain Office Aug 13, 2020
Richard Haun Individual Corporate OfficerVP Mar 13, 2017
W-2 Managing EmployeePresident Sep 1, 2021 100%
Mary a Crabtree Individual Corporate OfficerSVP and Treasurer Mar 13, 2017
LHP Operations Co LLC Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Jul 1, 2012 80%
Montclair Health System LLC Organization, Brentwood, TN Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Jul 1, 2012 80%
5% Or Greater Direct Ownership Interest Feb 20, 2014
Ahs Management Company Inc. Organization, Nashville, TN Corporation Operational/Managerial Control Jan 1, 2019 100%
LHP Hospital Group, Inc. Organization, Brentwood, TN Corporation 5% Or Greater Indirect Ownership Interest Jul 1, 2012 80%
5% Or Greater Direct Ownership Interest Feb 20, 2014
Stephen C Petrovich Individual Corporate OfficerEvp, General Counsel and Secretary Mar 13, 2017
Corporate OfficerEvp General Counsel Mar 13, 2017
HMH Hospitals Corporation Organization, Hackensack, NJ 5% Or Greater Direct Ownership Interest Feb 20, 2014
Ardent Legacy Holdings LLC Organization, Brentwood, TN LLC 5% Or Greater Indirect Ownership Interest Mar 13, 2017 80%
Ahp Health Partners, Inc Organization, Brentwood, TN Corporation 5% Or Greater Indirect Ownership Interest Mar 13, 2017 80%
Joseph Alan Deschryver Individual Corporate Director Jan 1, 2026
W-2 Managing EmployeeAd; Jan 1, 2026 100%

Owners & managing parties with NPI records 22

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 22

Facilities with the same owner 64

Facilities that share an organizational owner with 5% or greater ownership or operational control.

  • Hackensack Meridian Ltach LLC

    dba Hackensack Meridian LTACH

    • Long Term Care Hospital
    • Perth Amboy, NJ
    • NPI 1255022893

    HMH Hospitals Corporation

    CMS ownership
  • HMH Carrier Behavioral Health Inc

    dba Hackensack Meridian Health Carrier Clinic

    • Psychiatric Hospital
    • Belle Mead, NJ
    • NPI 1225039399

    HMH Hospitals Corporation

    CMS ownership
  • HMH Hospitals Corporation
    • Psychiatric Hospital Unit
    • Hackensack, NJ
    • NPI 1932200623

    HMH Hospitals Corporation

    CMS ownership
  • Montclair Hospital LLC

    dba Psych Unit

    • Psychiatric Hospital Unit
    • Montclair, NJ
    • NPI 1841444718

    Ahp Health Partners, Inc, Ardent Health Inc, Ardent Legacy Holdings LLC, HMH Hospitals Corporation, LHP Hospital Group, Inc., LHP Montclair LLC, LHP Operations Co LLC, Montclair Health System LLC

    CMS ownership
  • Pascack Valley Hospital LLC

    dba HackensackUMC at Pascack Valley

    • General Acute Care Hospital
    • Westwood, NJ
    • NPI 1205176062

    Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC, HMH Hospitals Corporation, LHP Hospital Group, Inc., LHP Operations Co LLC

    CMS ownership
  • Ahs Claremore Regional Hospital LLC
    • Rural Health Clinic/Center
    • Claremore, OK
    • NPI 1356974687

    Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Ahs Claremore Regional Hospital, LLC
    • Rural Health Clinic/Center
    • Claremore, OK
    • NPI 1316579642

    Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Ahs Claremore Regional Hospital, LLC.

    dba Hillcrest Hospital Claremore

    • General Acute Care Hospital
    • Claremore, OK
    • NPI 1023398807

    Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Ahs Cushing Hospital LLC

    dba Hillcrest Hospital Cushing

    • Medicare Defined Swing Bed Hospital Unit
    • Cushing, OK
    • NPI 1467523894

    Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Ahs Cushing Hospital LLC

    dba Cushing Regional Hospital

    • General Acute Care Hospital
    • Cushing, OK
    • NPI 1801867643

    Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Ahs Henryetta Hospital LLC

    dba Utica Park Clinic Primary Care

    • Rural Health Clinic/Center
    • Henryetta, OK
    • NPI 1295232478

    Ahp Health Partners, Inc, Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
  • Ahs Henryetta Hospital LLC
    • Medicare Defined Swing Bed Hospital Unit
    • Henryetta, OK
    • NPI 1588733828

    Ahp Health Partners, Inc, Ahs Management Company Inc., Ardent Health Inc, Ardent Legacy Holdings LLC

    CMS ownership
View all 64

Practitioners & affiliated clinicians

Practitioners 59

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.

View all 59

Affiliated clinicians 462

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 462

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1982720249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BAY AVENUE",
            "address_2": "ADMINISTRATION - 3RD FLOOR",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424837",
            "telephone_number": "973-429-6000",
            "fax_number": "973-429-6209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BAY AVENUE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424837",
            "telephone_number": "973-429-6451",
            "fax_number": "973-429-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTCLAIR HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "866-465-9222"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0139564",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HackensackUMC Mountainside",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.