Active NPI
Frontier Travel LLC
- Case Manager/Care Coordinator
- East Orange, NJ
National Provider Identifier
1306339882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 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
National Provider Directory
National Provider DirectoryNPI 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.