Organization Active NPI

Envision Center

  • Counselor
  • Verona, NJ
National Provider Identifier
1053801118
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
ENVISION CENTER
Practice address
60 Pompton Ave
Verona, NJ 07044-2946
Phone
(973) 271-5802
NPI assigned
May 15, 2018
Last updated
May 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jim Moschella
Title
Consultant
Phone
(973) 699-1884

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary
Occupational Therapist 225X00000X
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

60 Pompton Ave
Verona, NJ 07044-2946

Mailing address

111 Old Chester Rd
Essex Fells, NJ 07021-1625

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526342400000",
    "number": "1053801118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 OLD CHESTER RD",
            "city": "ESSEX FELLS",
            "state": "NJ",
            "postal_code": "070211625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 POMPTON AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442946",
            "telephone_number": "973-271-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-15",
        "last_updated": "2018-05-15",
        "status": "A",
        "authorized_official_last_name": "MOSCHELLA",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "973-699-1884"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Verona, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.