NPIMap

Organization Active NPI

Real House Inc

  • Clinic/Center
  • Montclair, NJ
National Provider Identifier
1508069402
Registry record updated Aug 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2000081-05 Issued in NJ
Legal business name
REAL HOUSE INC
Practice address
95 Grove St
Montclair, NJ 07042-4005
Phone
(973) 746-2400
NPI assigned
Jun 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2007

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

Authorized official

Name
Diane M Anglin
Title
Senior Director
Phone
(973) 746-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 2000081-05 NJ Primary

Addresses

Primary practice location

95 Grove St
Montclair, NJ 07042-4005

Mailing address

95 Grove Street
Monclair, NJ 07042-4005
Phone (973) 746-2400

Other identifiers 1

IdentifierTypeStateIssuer
0079782MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Real House Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187568000000",
    "number": "1508069402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 GROVE STREET",
            "city": "MONCLAIR",
            "state": "NJ",
            "postal_code": "070424005",
            "telephone_number": "973-746-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 GROVE ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424005",
            "telephone_number": "973-746-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL HOUSE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2007-08-20",
        "status": "A",
        "authorized_official_last_name": "ANGLIN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SENIOR DIRECTOR",
        "authorized_official_telephone_number": "973-746-2400"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "2000081-05",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0079782",
            "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 Aug 20, 2007; 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.