Well in Montclair, LLC

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

Legal business name

WELL IN MONTCLAIR, LLC

Practice address

105 Grove St Ste 17
Montclair, NJ 07042-4053

Phone

(917) 375-4111

NPI assigned

Dec 30, 2021

Last updated

Dec 30, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Cathy Lynette Stephenson, MS, PT, MSWNPI 1326173089

Title

Member

Phone

(917) 375-4111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cathy Lynette Stephenson, MS, PT, MSW

  • Physical Therapist
  • Montclair, NJ
  • NPI 1326173089
  Medicare reassignment Care Compare group NPD Authorized official
• Schuyler McIlvaine, PT, DPT

  • Physical Therapist
  • Lyndhurst, NJ
  • NPI 1164024097
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1306507439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 VALLEY RD STE 1",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422210",
            "telephone_number": "917-375-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 GROVE ST STE 17",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424053",
            "telephone_number": "917-375-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL IN MONTCLAIR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "917-375-4111",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, PT, MSW"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danit Wehle, RN IBCLC
• Edward W. Weikert, LCSW
• Lisa Weinberg, PH.D.
• Alison Lynn Weiner, M.D.
• Tyler Weinroth
• Wellness Dialogues LCSW, PLLC
• Tanisha Simone Wester
• Ariel Westerman, PHD
• Allison Westra
• Laurence Michael Westreich, M.D.

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.