Organization Active NPI

Gabriella Kellish

  • Case Management Agency
  • Nutley, NJ
National Provider Identifier
1639847890
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
GABRIELLA KELLISH
Practice address
75 Ridge Rd
Nutley, NJ 07110-2025
Phone
(973) 281-8267
Fax
(973) 893-9479
NPI assigned
Sep 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Authorized official

Name
Gabriella KellishNPI 1144696139
Title
Owener/SC Supervisor
Phone
(973) 489-7884

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
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

75 Ridge Rd
Nutley, NJ 07110-2025

Mailing address

75 Ridge Rd
Nutley, NJ 07110-2025
Phone (973) 281-8267

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.

NPI Registry JSON

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630540800000",
    "number": "1639847890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 RIDGE RD",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102025",
            "telephone_number": "973-281-8267",
            "fax_number": "973-893-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 RIDGE RD",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102025",
            "telephone_number": "973-281-8267",
            "fax_number": "973-893-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIELLA KELLISH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A",
        "authorized_official_last_name": "KELLISH",
        "authorized_official_first_name": "GABRIELLA",
        "authorized_official_title_or_position": "OWENER/SC SUPERVISOR",
        "authorized_official_telephone_number": "973-489-7884"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nutley, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.

Verify at the official NPI Registry.