Active NPI
Community Milestones
- Case Management Agency
- Montclair, NJ
National Provider Identifier
1114363033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.