Community Reunion LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

COMMUNITY REUNION LLC

Practice address

263 Keats Ave
Elizabeth, NJ 07208-1059

Phone

(908) 353-0939

NPI assigned

Sep 29, 2020

Last updated

Sep 29, 2020By 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

Mr. Moancy John

Title

Executive Director

Phone

(908) 353-0939

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1679180137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 KEATS AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081059",
            "telephone_number": "908-353-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 KEATS AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081059",
            "telephone_number": "908-353-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY REUNION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "JOHN",
        "authorized_official_first_name": "MOANCY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "908-353-0939",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Case Management Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.