Organization Active NPI

Mary Cullen-Drill Apn LLC

  • Psychiatric/Mental Health Registered Nurse
  • Montclair, NJ
National Provider Identifier
1598940934
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
26NC07979500 Issued in NJ
Legal business name
MARY CULLEN-DRILL APN LLC
Practice address
51 Upper Montclair PLZ
Suite 21
Montclair, NJ 07043-1343
Phone
(973) 477-8628
NPI assigned
Jan 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Authorized official

Name
Dr. Mary Margaret Cullen-Drill, DRNP, APN, BC
Title
President
Phone
(973) 477-8628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WP0808X 26NC07979500 NJ Primary

Addresses

Primary practice location

51 Upper Montclair PLZ
Suite 21
Montclair, NJ 07043-1343

Mailing address

51 Upper Montclair PLZ
Suite 21
Montclair, NJ 07043-1343
Phone (973) 477-8628

National Provider Directory

National Provider Directory

Locations

209 Cooper Ave
Ste 6
Upper Montclair, NJ 07043
Phone (862) 277-0344

51 Upper Montclair Plz
Ste 21
Upper Montclair, NJ 07043
Phone (201) 306-4015

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1598940934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 UPPER MONTCLAIR PLZ",
            "address_2": "SUITE 21",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431343",
            "telephone_number": "973-477-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 UPPER MONTCLAIR PLZ",
            "address_2": "SUITE 21",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431343",
            "telephone_number": "973-477-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY CULLEN-DRILL APN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "CULLEN-DRILL",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-477-8628",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DRNP, APN, BC"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NC07979500",
            "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 Jan 3, 2008; 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.