Organization Active NPI

Jill Tolia MD LLC

  • Infectious Disease Physician
  • Montclair, NJ
National Provider Identifier
1447524103
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
25MA09049200 Issued in NJ
Legal business name
JILL TOLIA MD LLC
Practice address
5 Roosevelt PL
Unit B1
Montclair, NJ 07042-6307
Phone
(973) 337-5939
NPI assigned
Feb 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Authorized official

Name
Karla Gilliam
Title
Office Manager
Phone
(973) 337-5939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X 25MA09049200 NJ Primary

Addresses

Primary practice location

5 Roosevelt PL
Unit B1
Montclair, NJ 07042-6307

Mailing address

5 Roosevelt PL
Unit B1
Montclair, NJ 07042-6307
Phone (973) 337-5939

National Provider Directory

National Provider Directory

Locations

5 Roosevelt Pl
Ste B1
Montclair, NJ 07042
Phone (973) 337-5939

NPI Registry JSON

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1447524103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ROOSEVELT PL",
            "address_2": "UNIT B1",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070426307",
            "telephone_number": "973-337-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ROOSEVELT PL",
            "address_2": "UNIT B1",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070426307",
            "telephone_number": "973-337-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL TOLIA MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-28",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "GILLIAM",
        "authorized_official_first_name": "KARLA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-337-5939"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MA09049200",
            "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 Feb 28, 2012; 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.