Active NPI
Emmanuel Mervilus
- Social Worker
- Montclair, NJ
National Provider Identifier
1497564132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 127 Pine St
Montclair, NJ 07042-4855 - Phone
- (973) 746-2400
- NPI assigned
- Jan 7, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
127 Pine St
Montclair, NJ 07042-4855
Mailing address
127 Pine St
Montclair, NJ 07042-4855
Phone (973) 746-2400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736208000000",
"number": "1497564132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 PINE ST",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070424855",
"telephone_number": "973-746-2400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 PINE ST",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070424855",
"telephone_number": "973-746-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERVILUS",
"first_name": "EMMANUEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-01-07",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montclair, NJ
- Mental Health Association of Essex and Morris
- Mental Health Association of Essex and Morris
- Mental Health Association of Essex and Morris, Inc.
- Mental Wellness Montclair, LLC
- Maria Mereos, MA, LPC
- Ashley Engle Meskill, NP
- Jolinda Mester, MD
- Sarah E Meyer, M.D.
- Natalya Meyerzon, PMHNP
- Ambrose Mgbako, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.