Organization Active NPI

Chrill Visiting Nurse Association

  • Home Health Agency
  • Montclair, NJ
National Provider Identifier
1740319508
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CHRILL VISITING NURSE ASSOCIATION
Practice address
60 S Fullerton Ave
Montclair, NJ 07042-2632
Phone
(973) 509-9870
Fax
(973) 746-9629
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Mr. Thomas Tipaldi
Title
President
Phone
(973) 509-9870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

60 S Fullerton Ave
Montclair, NJ 07042-2632

Mailing address

60 S Fullerton Ave
Montclair, NJ 07042-2632
Phone (973) 509-9870

Other identifiers 3

IdentifierTypeStateIssuer
1097906OtherNJHORIZON NJ HEALTH
2391858OtherNJAETNA
7651902MedicaidNJ

National Provider Directory

National Provider Directory

Locations

60 S Fullerton Ave
Ste 202
Montclair, NJ 07042
Phone (973) 509-9870

60 S Fullerton Ave
Montclair, NJ 07042
Phone (973) 509-9870

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1740319508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 S FULLERTON AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422632",
            "telephone_number": "973-509-9870",
            "fax_number": "973-746-9629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 S FULLERTON AVE",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422632",
            "telephone_number": "973-509-9870",
            "fax_number": "973-746-9629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRILL VISITING NURSE ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "TIPALDI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "973-509-9870",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1097906",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2391858",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7651902",
            "state": "NJ"
        }
    ],
    "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 Jul 24, 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.