Active NPI
Stilled Waters
- Case Management Agency
- Midland Park, NJ
National Provider Identifier
1255159679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.