Township of Montclair

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

TOWNSHIP OF MONTCLAIR

Practice address

205 Claremont Ave
3Rd Floor
Montclair, NJ 07042-3401

Phone

(973) 509-4970

Fax

(973) 509-1479

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Jacquelyn Ellen Messineo, RN, BSN

Title

Director of Nursing

Phone

(973) 509-4980

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1699981712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 CLAREMONT AVE",
            "address_2": "3RD FLOOR",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423401",
            "telephone_number": "973-509-4970",
            "fax_number": "973-509-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 CLAREMONT AVE",
            "address_2": "3RD FLOOR",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423401",
            "telephone_number": "973-509-4970",
            "fax_number": "973-509-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWNSHIP OF MONTCLAIR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "MESSINEO",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "973-509-4980",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Torrisi, MSW, LSW
• Total Wellness Center LLC
• Julia Chandler Toto
• Faraj Touchan, MD
• Soleil Ermina Townes
• Train, Play & Recover Physical Therapy, LLC (Strongholistics, LLC)
• Trauma-Informed Psychotherapy, LLC
• Diane Travers, LCSW
• Tri-Meta Counseling & Associates
• Konstantine Trichas

• State or Local Public Health Clinic/Center in Montclair, NJ
• Providers in Montclair, NJ by specialty
• State or Local Public Health Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.