Montclair Radiology Billing Department . 777 Passaic Ave, Suite 360. Clifton, NJ 07012. Phone: (973) 284 - 0020. ... Patient Information First Name * M.I. Last Name * Patient Account Number. Date of Birth * Invoice Number. Invoice Date. Email Address. A receipt will be sent to this email address. 2. Payment Amount Amount. 3. Payment Method ....