Organization Active NPI

Wise Health Pro

  • Health Service Clinic/Center
  • Montclair, NJ
National Provider Identifier
1558975789
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
WISE HEALTH PRO
Practice address
23 Wheeler St FL 2
Montclair, NJ 07042-4603
Phone
(973) 506-8176
NPI assigned
Sep 4, 2020
Last updated
Sep 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Authorized official

Name
Mrs. Talia Benders, M.S, LMTNPI 1750995981
Title
Owner
Phone
(973) 506-8176

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
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

23 Wheeler St FL 2
Montclair, NJ 07042-4603

Mailing address

23 Wheeler St FL 2
Montclair, NJ 07042-4603

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599177600000",
    "number": "1558975789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 WHEELER ST FL 2",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WHEELER ST FL 2",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424603",
            "telephone_number": "973-506-8176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE HEALTH PRO",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A",
        "authorized_official_last_name": "BENDERS",
        "authorized_official_first_name": "TALIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-506-8176",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S, LMT"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 4, 2020; 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.