Organization Active NPI

E Tarife Therapeutics LLC

  • Adult Mental Health Clinic/Center
  • Upr Montclair, NJ
National Provider Identifier
1215521216
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
E TARIFE THERAPEUTICS LLC
Practice address
51 Upper Montclair PLZ Ste 18
Upr Montclair, NJ 07043-1340
Phone
(201) 431-2066
NPI assigned
Feb 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Authorized official

Name
Mr. Ellery Tarife, APRNNPI 1902862543
Title
Owner
Phone
(845) 641-4634

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

51 Upper Montclair PLZ Ste 18
Upr Montclair, NJ 07043-1340

Mailing address

9 Hobart Ave
Rutherford, NJ 07070-1405
Phone (845) 641-4634

Other practice location 1

9 Hobart Ave
Rutherford, NJ 07070-1405
Phone (845) 641-4634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210915000540 NJ Part B Supplier - Clinic/Group Practice 4082010129 Receives reassigned benefits from 1 practitioner
Practice locations: Rutherford, NJ

National Provider Directory

National Provider Directory

Locations

71 Union Ave
Ste 107A
Rutherford, NJ 07070
Phone (201) 804-2575

51 Upper Montclair Plz
Ste 18
Upr Montclair, NJ 07043
Phone (201) 588-3776

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1215521216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HOBART AVE",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070701405",
            "telephone_number": "845-641-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 UPPER MONTCLAIR PLZ STE 18",
            "city": "UPR MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431340",
            "telephone_number": "201-431-2066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Hobart Ave",
            "address_purpose": "LOCATION",
            "city": "Rutherford",
            "state": "NJ",
            "postal_code": "070701405",
            "country_code": "US",
            "telephone_number": "845-641-4634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "E TARIFE THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "TARIFE",
        "authorized_official_first_name": "ELLERY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-641-4634",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upr Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.