Active NPI
Essex Heart Group, LLC
- Specialist
- Montclair, NJ
National Provider Identifier
1205972759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25MA05289200
- Legal business name
- ESSEX HEART GROUP, LLC
- Practice address
- 62 S Fullerton Ave
Montclair, NJ 07042-2629 - Phone
- (973) 746-8585
- NPI assigned
- Jan 30, 2007
- 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
- Dr. Kenneth P. Miller, MD
- Title
- Partner
- Phone
- (973) 746-8585
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 25MA05289200 | NJ | Primary |
Addresses
Primary practice location
62 S Fullerton Ave
Montclair, NJ 07042-2629
Mailing address
62 S Fullerton Ave
Montclair, NJ 07042-2629
Phone (973) 746-8585
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Montclair, NJ
- NPI 1174525976
-
- Cardiovascular Disease Physician
- Montclair, NJ
- NPI 1659331221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1184544000000",
"number": "1205972759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "62 S FULLERTON AVE",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070422629",
"telephone_number": "973-746-8585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "62 S FULLERTON AVE",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070422629",
"telephone_number": "973-746-8585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESSEX HEART GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-16",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "973-746-8585",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "NJ",
"license": "25MA05289200",
"primary": true
}
],
"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 Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.