Atalla Medical LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

ATALLA MEDICAL LLC

Practice address

42 N Mountain Ave
Montclair, NJ 07042-2318

Phone

(973) 783-9400

NPI assigned

Jun 20, 2019

Last updated

Jun 20, 2019By 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

Dr. Sara Atalla, DONPI 1831352848

Title

Physician

Phone

(727) 599-5950

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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.

• Sara N Atalla, DO

  • Physical Medicine & Rehabilitation Physician
  • Montclair, NJ
  • NPI 1831352848
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1560988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1659931772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 WHITFORD AVE",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102430",
            "telephone_number": "727-599-5950",
            "fax_number": "732-396-8708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 N MOUNTAIN AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422318",
            "telephone_number": "973-783-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATALLA MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-20",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "ATALLA",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "727-599-5950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://login.pointclickcare.com/home/userLogin.xhtml",
            "affiliation": "N",
            "endpointDescription": "emr",
            "address_1": "42 N Mountain Ave",
            "city": "Montclair",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070422318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ascension Pelvic Health & Orthopedics
• Justine Ashlee, LCSW
• Willard Walden Christopher Ashley Sr., SCP, NCPSYA
• Zachary L Ashley, LCSW
• Shaun Astorga
• Sara N Atalla, DO
• Attuned Connections Therapy Group LLC
• Attuned Neurofeedback and Psychotherapy of New Jersey
• Noreen Augustus-Cole
• Kathleen Aveno, LPC

• Physical Medicine & Rehabilitation Physician in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.