Organization Active NPI

Montclair Orthopaedic Group PA

  • Orthopaedic Surgery Physician
  • Glen Ridge, NJ
National Provider Identifier
1992925895
Registry record updated Dec 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
MONTCLAIR ORTHOPAEDIC GROUP PA
Practice address
200 Highland Ave
Glen Ridge, NJ 07028-1528
Phone
(973) 746-2200
Fax
(973) 429-2174
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2010

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

Authorized official

Name
Miss Julie E Malloy
Title
Office Manager
Phone
(973) 746-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

200 Highland Ave
Glen Ridge, NJ 07028-1528

Mailing address

200 Highland Ave
Glen Ridge, NJ 07028-1528
Phone (973) 746-2200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293580800000",
    "number": "1992925895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HIGHLAND AVE",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281528",
            "telephone_number": "973-746-2200",
            "fax_number": "973-429-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HIGHLAND AVE",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281528",
            "telephone_number": "973-746-2200",
            "fax_number": "973-429-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTCLAIR ORTHOPAEDIC GROUP PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2010-12-29",
        "status": "A",
        "authorized_official_last_name": "MALLOY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-746-2200",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ridge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; 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.