Organization Active NPI

Montclair Public Schools

  • Local Education Agency (LEA)
  • Montclair, NJ
National Provider Identifier
1407196579
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
251300000X. Issued in NJ
Legal business name
MONTCLAIR PUBLIC SCHOOLS
Practice address
100 Chestnut St
Montclair, NJ 07042-2908
Phone
(973) 509-4078
NPI assigned
Feb 26, 2013
Last updated
Feb 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Authorized official

Name
Dr. Keith Breiman, PHD
Title
Child Study Team Supervisor
Phone
(973) 509-4078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 251300000X. NJ Primary

Addresses

Primary practice location

100 Chestnut St
Montclair, NJ 07042-2908

Mailing address

100 Chestnut St
Montclair, NJ 07042-2908
Phone (973) 509-4078

Other identifiers 1

IdentifierTypeStateIssuer
251300000X.MedicaidNJ

National Provider Directory

National Provider Directory

Locations

100 Chestnut St
Montclair, NJ 07042
Phone (973) 509-4078

22 Valley Rd
Montclair, NJ 07042

NPI Registry JSON

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1407196579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CHESTNUT ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422908",
            "telephone_number": "973-509-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHESTNUT ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422908",
            "telephone_number": "973-509-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTCLAIR PUBLIC SCHOOLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-26",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "BREIMAN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "CHILD STUDY TEAM SUPERVISOR",
        "authorized_official_telephone_number": "973-509-4078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NJ",
            "license": "251300000X.",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251300000X.",
            "state": "NJ"
        }
    ],
    "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 Feb 26, 2013; 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.