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 provides Family Medicine Physician services 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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