MONTCLAIR STATE UNIVERSITY HEALTH CENTER – NPI #1497979132
Clinic/Center

MONTCLAIR STATE UNIVERSITY HEALTH CENTER is an AHC clinic located in MONTCLAIR, NJ. NPPES has assigned the NPI number 1497979132 to MONTCLAIR STATE UNIVERSITY HEALTH CENTER on April 12, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. The primary taxonomy selected by this provider is 261QS1000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Student Health

The NPI profile was previously updated about 6 years ago on Jun 11, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MONTCLAIR STATE UNIVERSITY HEALTH CENTER below.

NPI Profile for
MONTCLAIR STATE UNIVERSITY HEALTH CENTER

NPI Number
1497979132
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MONTCLAIR STATE UNIVERSITY HEALTH CENTER
Doing Business As (dba): MONTCLAIR STATE UNIVERSITY HEALTH CENTER
Other name(s)
All associated names:
Doing Business As (dba)
MONTCLAIR STATE UNIVERSITY HEALTH CENTER
Other Name
University Health Center
Primary location
ONE NORMAL AVE
MONTCLAIR STATE UNIVERSITY HEALTH CENTER
MONTCLAIR, NJ 07043
Phone: (974) 655-4361 Fax: (973) 655-4159
Mailing address
Same as primary location
Organization Subpart
Yes - MONTCLAIR STATE UNIVERSITY HEALTH CENTER is subpart of another organization.
Authorized Official
DONNA MCMONAGLE
VICE PRESIDENT FOR FINANCE AND TREA
Phone: (973) 655-5105
Updated
Certification Date
Jun 11, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QS1000X
- Clinic/Center / Student Health (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.