Organization Active NPI

Community Milestones

  • Case Management Agency
  • Montclair, NJ
National Provider Identifier
1114363033
Registry record updated May 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
COMMUNITY MILESTONES
Practice address
60 S Fullerton Ave
Suite 107
Montclair, NJ 07042-2632
Phone
(973) 273-4401
Fax
(973) 273-4406
NPI assigned
May 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2013

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

Authorized official

Name
Mr. Damon K Ceaser
Title
Chief Executive Officer
Phone
(973) 273-4401

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Community/Behavioral Health Agency 251S00000X
Voluntary or Charitable Agency 251V00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

60 S Fullerton Ave
Suite 107
Montclair, NJ 07042-2632

Mailing address

PO Box 2011
East Orange, NJ 07019-2011
Phone (973) 273-4401

National Provider Directory

National Provider Directory

Locations

60 S Fullerton Ave
Ste 107
Montclair, NJ 07042
Phone (973) 273-4401

NPI Registry JSON

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

{
    "created_epoch": "1368835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368835200000",
    "number": "1114363033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2011",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070192011",
            "telephone_number": "973-273-4401",
            "fax_number": "973-273-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 S FULLERTON AVE",
            "address_2": "SUITE 107",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422632",
            "telephone_number": "973-273-4401",
            "fax_number": "973-273-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MILESTONES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-18",
        "last_updated": "2013-05-18",
        "status": "A",
        "authorized_official_last_name": "CEASER",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "973-273-4401",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2013; 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.