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

Montclair Medical Associates LLC

Organization Family Medicine Physician · NPI 1588176929

Montclair Medical Associates LLC is a Family Medicine Physician in Livingston, New Jersey. Licensed in New Jersey. Registered with an NPI since 2017.

Licensed in
NJ
In the registry since
2017
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

290 S Livingston Ave
Livingston, NJ 07039-3931
Phone: (972) 592-2733
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 25MB08472400 (NJ)
Occupational Medicine Clinic/Center Taxonomy 261QX0100X

Record details

NPI number1588176929
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Renita Oglesby — Owner · (973) 592-2733
NPI enumeratedOctober 25, 2017
Last updated in NPPESOctober 25, 2017
Mailing address290 S Livingston Ave, Livingston, NJ 07039-3931

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