Active NPI
Glory Health Care
- Psychiatric/Mental Health Nurse Practitioner
- East Orange, NJ
National Provider Identifier
1508524281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- GLORY HEALTH CARE
- Practice address
- 134 Evergreen PL Ste 503
East Orange, NJ 07018-2010 - Phone
- (973) 725-7282
- NPI assigned
- Nov 30, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Claudine Tervil
- Title
- Owner
- Phone
- (973) 725-7282
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
134 Evergreen PL Ste 503
East Orange, NJ 07018-2010
Mailing address
134 Evergreen PL Ste 503
East Orange, NJ 07018-2010
National Provider Directory
National Provider DirectoryLocations
1560 Springfield Ave
Maplewood, NJ 07040
Phone (848) 256-9392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638230400000",
"number": "1508524281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 EVERGREEN PL STE 503",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070182010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 EVERGREEN PL STE 503",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "070182010",
"telephone_number": "973-725-7282"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLORY HEALTH CARE",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-30",
"last_updated": "2021-11-30",
"certification_date": "2021-11-30",
"status": "A",
"authorized_official_last_name": "TERVIL",
"authorized_official_first_name": "CLAUDINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-725-7282"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.