Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Montclair Breast Center PC

Organization Diagnostic Radiology Physician · NPI 1053367334

Montclair Breast Center PC is a Diagnostic Radiology Physician in Montclair, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

37 No Fullerton Avenue Montclair Breast Center Pc
Montclair, NJ 07042-3426
Phone: (973) 509-1818
Fax: (973) 509-0708
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X (NJ)
Diagnostic Radiology Physician Taxonomy 2085R0202X (NJ)
Diagnostic Ultrasound Physician Taxonomy 2085U0001X (NJ)

Record details

NPI number1053367334
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jackie Hernandez — Billing Manager · (973) 744-0604
NPI enumeratedMay 26, 2006
Last updated in NPPESJuly 9, 2026
Certification dateJuly 9, 2026
Mailing address37 N Fullerton Ave, Montclair, NJ 07042-3426

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