| Montclair State Clinical Services Group | |
|
1 Normal Avenue Division Of Finance Montclair NJ 07043 | |
| (973) 655-5105 | |
| (973) 655-7643 |
| Full Name | Montclair State Clinical Services Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Normal Avenue, Montclair, New Jersey |
| Authorized Official Name and Position | Donna Mcmonagle (VICE PRESIDENT FOR FINANCE) |
| Authorized Official Contact | 9736557365 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Montclair State Clinical Services Group 1 Normal Avenue Division Of Finance Montclair NJ 07043 Ph: (973) 655-5105 | Montclair State Clinical Services Group 1 Normal Avenue Division Of Finance Montclair NJ 07043 Ph: (973) 655-5105 |
| NPI Number | 1902346877 |
|---|---|
| Provider Enumeration Date | 02/27/2017 |
| Last Update Date | 05/20/2020 |
| Medicare PECOS PAC ID | 0446437784 |
|---|---|
| Medicare Enrollment ID | O20110614000186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902346877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Lisa Ann Perhacs |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1164448817 PECOS PAC ID: 7113946930 Enrollment ID: I20051122000023 |
| Provider Name | Faith M Mogila |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1962675132 PECOS PAC ID: 7618038852 Enrollment ID: I20081206000170 |
| Provider Name | Maryann Pladdys |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1235282401 PECOS PAC ID: 5597895847 Enrollment ID: I20100611000682 |
| Provider Name | Betty Needleman |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1306143524 PECOS PAC ID: 2163693441 Enrollment ID: I20110916000198 |
| Provider Name | Meredith Force Cozzarelli |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1558613364 PECOS PAC ID: 1850521105 Enrollment ID: I20140306000009 |
| Provider Name | Joanne C Howard |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1366497695 PECOS PAC ID: 4789816919 Enrollment ID: I20140422001236 |
| Provider Name | Theresa M Shaw |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1689640815 PECOS PAC ID: 3375722093 Enrollment ID: I20150903000903 |
| Provider Name | Elena Weitz |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1730477894 PECOS PAC ID: 4284860222 Enrollment ID: I20170123002000 |
| Provider Name | Alexis C Conte |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1689197931 PECOS PAC ID: 2961764543 Enrollment ID: I20180319002082 |
Montclair Adult Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 239 Claremont Ave, Montclair, NJ 07042 Phone: 973-338-3300 Fax: 973-338-0400 | |
Ponzio Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 Pine St, Suite 10, Montclair, NJ 07042 Phone: 973-783-0073 Fax: 973-783-4010 | |
Anupama Adlakha Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Roosevelt Pl Ste B1, Montclair, NJ 07042 Phone: 973-337-5939 Fax: 973-707-7253 | |
Cope Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Bloomfield Ave, Montclair, NJ 07042 Phone: 973-783-6655 Fax: 973-783-1658 | |
Frome Physcial Therapy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 Grove St, Montclair, NJ 07042 Phone: 973-509-8464 Fax: 815-301-2780 | |
Superior Physical Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 Orange Rd, Montclair, NJ 07042 Phone: 973-783-3606 Fax: 973-839-3653 | |
Highland Physician Services, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Bay Avenue, Montclair, NJ 07042 Phone: 973-429-6000 |