Iac Center

Primary specialty

SpecialistTaxonomy code 174400000X

License

LCSW#44SC05190700 Issued in NJ

Legal business name

IAC CENTER

Practice address

2 Tree Farm Rd
Suite A200
Pennington, NJ 08534-1435

Phone

(609) 737-8750

NPI assigned

Sep 22, 2010

Last updated

Sep 22, 2010By 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

Joni S Mantell, MSW

Title

Director

Phone

(609) 737-8750

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1407164650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TREE FARM RD",
            "address_2": "SUITE A200",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085341435",
            "telephone_number": "609-737-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TREE FARM RD",
            "address_2": "SUITE A200",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085341435",
            "telephone_number": "609-737-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IAC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "MANTELL",
        "authorized_official_first_name": "JONI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "609-737-8750",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "LCSW#44SC05190700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julianne Hughes, MD
• Richard Joseph Hunnemeder, D.C.
• Matthew Hunt
• Hunterdon Primary Care, PC (Hunterdon Family & Sports Medicine at Hopewell Valley)
• Julia Ann Hydrusko, MSN RN APNC
• Ramy Ibrahim, MD
• Ikigai Home Healthcare, LLP
• Selden Dunbar Illick, LCSW
• Samantha Jane Innes, PA-C
• Nicko Inocencio, PA

• Specialist in Pennington, NJ
• Providers in Pennington, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.