Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

South Mountain Medical Associates, PC

Organization Internal Medicine Physician · NPI 1861671737

South Mountain Medical Associates, PC provides Internal Medicine Physician services in West Orange, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
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

1500 Pleasant Valley Way Ste 302
West Orange, NJ 07052-2956 Not confirmed with CMS for 14 years — call before visiting
Phone: (973) 736-8119
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MA44815 (NJ)

Record details

NPI number1861671737
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Russo — Physician · (973) 736-8119
NPI enumeratedOctober 29, 2007
Last updated in NPPESJuly 20, 2012
Mailing address1500 Pleasant Valley Way, Suite 302, West Orange, NJ 07052-2956

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