Active NPI
Ayble Health Services New Jersey P.C.
- Clinic/Center
- Montclair, NJ
National Provider Identifier
1386448058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- AYBLE HEALTH SERVICES NEW JERSEY P.C.
- Practice address
- 28 Valley Rd
Montclair, NJ 07042-2709 - Phone
- (773) 741-4452
- NPI assigned
- Apr 2, 2025
- Last updated
- Apr 2, 2025
- 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
- Dr. Trent Haywood
- Title
- Medical Director
- Phone
- (773) 741-4452
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | Primary |
Addresses
Primary practice location
28 Valley Rd
Montclair, NJ 07042-2709
Mailing address
200 E Randolph St Ste 5100
Chicago, IL 60601-6528
Phone (312) 584-0040
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743552000000",
"number": "1386448058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E RANDOLPH ST STE 5100",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606016528",
"telephone_number": "312-584-0040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 VALLEY RD",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070422709",
"telephone_number": "773-741-4452"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AYBLE HEALTH SERVICES NEW JERSEY P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-02",
"last_updated": "2025-04-02",
"certification_date": "2025-04-02",
"status": "A",
"authorized_official_last_name": "HAYWOOD",
"authorized_official_first_name": "TRENT",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "773-741-4452",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montclair, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.