Wellness Management LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

25MA07805000 Issued in NJ

Legal business name

WELLNESS MANAGEMENT LLC

Doing business as

Marc Cantillon MD

Practice address

134 Walnut St
Livingston, NJ 07039-2513

Phone

(973) 462-0496

NPI assigned

Jun 13, 2013

Last updated

Jun 13, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lily Mo

Title

Office Manager

Phone

(973) 462-0496

Specialties & licenses 1

Addresses

Other names 1

• Marc Cantillon MD Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 3

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.

• Marc Cantillon, M.D.

  • Psychiatry Physician
  • Livingston, NJ
  • NPI 1427037803
  Medicare reassignment Care Compare group NPD
• Eliza Mae Tangonan, APN-C, PMHNP-BC

  • Nurse Practitioner
  • Clark, NJ
  • NPI 1477964971
  Medicare reassignment Care Compare group NPD
• Jonatha A Morvan

  • Psychiatric/Mental Health Nurse Practitioner
  • Livingston, NJ
  • NPI 1376479287
  NPD (past)

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1558709451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 WALNUT ST",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070392513",
            "telephone_number": "973-462-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 WALNUT ST",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070392513",
            "telephone_number": "973-462-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "MO",
        "authorized_official_first_name": "LILY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "973-462-0496",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "NJ",
            "license": "25MA07805000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marc Cantillon MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stanley H Weiss, M.D., FACP
• Steven Jay Weiss, M.D.
• Susan M Weissman, M.D.
• Mark Welber, DO
• Well BL Opco LLC (Brandywine Living at Livingston LLC)
• Wendy J Lazarus LLC
• Francis L Weng, M.D.
• West Essex OB-GYN Associates, P.C.
• Sarah West, LAC
• Wholecare New Jersey

• Counselor in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.