Active NPI
Joelle Falaise
- Community/Behavioral Health Agency
- Glen Ridge, NJ
National Provider Identifier
1386231579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 37PC00550100
- Practice address
- 24 Pierson PL
Glen Ridge, NJ 07028-1226 - Phone
- (973) 932-0408
- NPI assigned
- Dec 22, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 37PC00550100 | NJ | Primary |
Addresses
Primary practice location
24 Pierson PL
Glen Ridge, NJ 07028-1226
Mailing address
125 Glenridge Ave Unit 284
Montclair, NJ 07042-6812
Phone (973) 932-0408
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00550100 | NJ | MD | Community/Behavioral Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608595200000",
"number": "1386231579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 GLENRIDGE AVE UNIT 284",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070426812",
"telephone_number": "973-932-0408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 PIERSON PL",
"city": "GLEN RIDGE",
"state": "NJ",
"postal_code": "070281226",
"telephone_number": "973-932-0408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FALAISE",
"first_name": "JOELLE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-22",
"last_updated": "2020-12-22",
"certification_date": "2020-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NJ",
"license": "37PC00550100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Ridge, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.