NPIMap

Organization Active NPI

20 Clair Street

  • Adult Health Clinical Nurse Specialist
  • Clifton, NJ
National Provider Identifier
1447695044
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
26NJ00431900 Issued in NJ
Legal business name
20 CLAIR STREET
Practice address
20 Clair St
Clifton, NJ 07013-2618
Phone
(973) 473-3163
NPI assigned
May 8, 2013
Last updated
May 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Authorized official

Name
Darshanabahen Jayeshkumar Mistry, NPNPI 1376953208
Title
NP
Phone
(973) 473-3163

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X 26NJ00431900 NJ Primary

Addresses

Primary practice location

20 Clair St
Clifton, NJ 07013-2618

Mailing address

20 Clair St
Clifton, NJ 07013-2618
Phone (973) 473-3163

National Provider Directory

National Provider Directory
Tax ID family
Az Trans456 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1447695044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CLAIR ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132618",
            "telephone_number": "973-473-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CLAIR ST",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070132618",
            "telephone_number": "973-473-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "20 CLAIR STREET",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-08",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "MISTRY",
        "authorized_official_first_name": "DARSHANABAHEN",
        "authorized_official_middle_name": "JAYESHKUMAR",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "973-473-3163",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "NJ",
            "license": "26NJ00431900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.