Organization Active NPI

Stilled Waters

  • Case Management Agency
  • Midland Park, NJ
National Provider Identifier
1255159679
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
STILLED WATERS
Practice address
142 Irving St
Midland Park, NJ 07432-1504
Phone
(551) 247-6441
NPI assigned
Oct 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Authorized official

Name
Mr. Joseph Mulligan
Title
Registered Agent
Phone
(551) 247-6441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

142 Irving St
Midland Park, NJ 07432-1504

Mailing address

142 Irving St
Midland Park, NJ 07432-1504
Phone (551) 247-6441

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1255159679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 IRVING ST",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321504",
            "telephone_number": "551-247-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 IRVING ST",
            "city": "MIDLAND PARK",
            "state": "NJ",
            "postal_code": "074321504",
            "telephone_number": "551-247-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILLED WATERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "MULLIGAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "551-247-6441",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.