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NPI · 1114396835 · NPPES-sourced

Montclair Memory Clinic LLC

ActiveClinical Neuropsychologist
NPI Number
1114396835
Type 2 · Organisation
Taxonomy Code
103G00000X
Contact
(973) 743-4555
License NJ · 35SI00390000
Last Updated
Enumerated
Primary practice addressNJ · 07042-2960
70 Park Street, Suite 207Montclair, NJ 07042-2960
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About this NPIWhat this record shows.

NPI 1114396835 is registered to Montclair Memory Clinic LLC, a healthcare organisation classified as "Clinical Neuropsychologist" and located at 70 Park Street, Suite 207 in Montclair, New Jersey. The organisation's authorised official is Jacqueline Rondeau. The organisation has been enumerated in the NPI registry since 2015.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Montclair Memory Clinic LLC accepts. To confirm in-network status with your specific health plan, contact Montclair Memory Clinic LLC directly at (973) 743-4555.

Frequently asked

Yes. NPI 1114396835 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Clinical Neuropsychologist is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (973) 743-4555.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Montclair Memory Clinic LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy103G00000X
Last updated
Enumerated
StatusActive
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