Organization Active NPI

Frontier Travel LLC

  • Case Manager/Care Coordinator
  • East Orange, NJ
National Provider Identifier
1306339882
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
FRONTIER TRAVEL LLC
Practice address
190 N Park St # 2
East Orange, NJ 07017-1800
Phone
(973) 445-5950
NPI assigned
Jun 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Melody F Bundy
Title
Director
Phone
(973) 445-5950

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X NJ Primary
Supports Brokerage Agency 251X00000X NJ

Addresses

Primary practice location

190 N Park St # 2
East Orange, NJ 07017-1800

Mailing address

190 N Park St # 2
East Orange, NJ 07017-1800
Phone (973) 445-5950

Other names 1

  • Frontier Services Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1306339882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 N PARK ST # 2",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171800",
            "telephone_number": "973-445-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 N PARK ST # 2",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070171800",
            "telephone_number": "973-445-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER TRAVEL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-11",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "BUNDY",
        "authorized_official_first_name": "MELODY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-445-5950"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "NJ",
            "license": null,
            "primary": true
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "NJ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frontier Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Frontier Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Frontier Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in East Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.