Individual provider Active NPI

Joy F Micale, D.V.M.

  • Veterinarian
  • Cresskill, NJ
National Provider Identifier
1104091511
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
VeterinarianTaxonomy code 174M00000X
License
29VI00247000 Issued in NJ
Practice address
39 Spring St
Cresskill, NJ 07626-2105
Phone
(201) 568-7700
Fax
(201) 541-1595
NPI assigned
Apr 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Veterinarian 174M00000X 29VI00247000 NJ Primary

Addresses

Primary practice location

39 Spring St
Cresskill, NJ 07626-2105

Mailing address

39 Spring St
Cresskill, NJ 07626-2105
Phone (201) 568-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
29VI00247000NJMDVeterinarian

NPI Registry JSON

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1104091511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 SPRING ST",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076262105",
            "telephone_number": "201-568-7700",
            "fax_number": "201-541-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 SPRING ST",
            "city": "CRESSKILL",
            "state": "NJ",
            "postal_code": "076262105",
            "telephone_number": "201-568-7700",
            "fax_number": "201-541-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICALE",
        "first_name": "JOY",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.V.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174M00000X",
            "taxonomy_group": "",
            "desc": "Veterinarian",
            "state": "NJ",
            "license": "29VI00247000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cresskill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.