Dr. Roderick John Clemente
Neurosurgeon
96 Gates Avenue
Montclair
, New Jersey 07042
Dr. Roderick John Clemente
Neurosurgeon
96 Gates Avenue
Montclair
, New Jersey 07042
(973) 744-3199
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Dr. Roderick John Clemente
- 96 Gates Ave
- Montclair, NJ
- Zip : 07042-2501
- Fax : (973) 744-3199
- Phone : (973) 744-3166
Second Address
- Dr. Roderick John Clemente
- 96 Gates Avenue
- Montclair, NJ
- Zip : 07042
- Fax : (973) 744-3199
- Phone : (973) 744-3166
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207T00000X | Neurosurgeon | 25MA04150100 | NJ |
National Provider Identifier
| NPI | 1053405654 |
|---|---|
| Provider Name | Dr. Roderick John Clemente |
| First Address | Montclair, NJ 07042-2501 |
| Second Address | Montclair, NJ 07042 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/10/2006 |
| Last Update Date | 23/06/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 582676791 | TAX ID# (01) | NJ |
| C59724 | (02) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.