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

Well in Montclair, LLC

Organization Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1306507439

Well in Montclair, LLC is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Montclair, New Jersey. Registered with an NPI since 2021.

In the registry since
2021
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

105 Grove St Ste 17
Montclair, NJ 07042-4053
Phone: (917) 375-4111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X

Record details

NPI number1306507439
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cathy Stephenson — Member · (917) 375-4111
NPI enumeratedDecember 30, 2021
Last updated in NPPESDecember 30, 2021
Certification dateDecember 30, 2021
Mailing address75 Valley Rd Ste 1, Montclair, NJ 07042-2210

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