Organization Active NPI

Tara Pellegrino LLC

  • Clinical Social Worker
  • Montclair, NJ
National Provider Identifier
1497628770
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TARA PELLEGRINO LLC
Practice address
51 Upper Montclair PLZ Ste 26
Montclair, NJ 07043-1340
Phone
(973) 283-5896
NPI assigned
Sep 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Authorized official

Name
Tara PellegrinoNPI 1427803667
Title
Owner
Phone
(973) 919-3925

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

51 Upper Montclair PLZ Ste 26
Montclair, NJ 07043-1340

Mailing address

9 Lansing PL
Montclair, NJ 07043-1406
Phone (973) 919-3925

Other names 1

  • What We Hold Doing business as

National Provider Directory

National Provider Directory

Locations

51 Upper Montclair Plz
Ste 26
Upper Montclair, NJ 07043
Phone (201) 470-4006

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1497628770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 LANSING PL",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431406",
            "telephone_number": "973-919-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 UPPER MONTCLAIR PLZ STE 26",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431340",
            "telephone_number": "973-283-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA PELLEGRINO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "PELLEGRINO",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-919-3925"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "What We Hold",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 24, 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.

Verify at the official NPI Registry.