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

Nj Medical Practice PC

Organization Emergency Medicine Physician · NPI 1356798490

Nj Medical Practice PC is an Emergency Medicine Physician in Montclair, New Jersey. Registered with an NPI since 2016.

In the registry since
2016
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

1 Bay Ave
Montclair, NJ 07042-4837
Phone: (469) 401-2386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1356798490
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Russell Harris — Officer · (469) 401-2386
NPI enumeratedMay 18, 2016
Last updated in NPPESMay 18, 2016
Mailing address13737 Noel Rd, 1600, Dallas, TX 75240-1331

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