Active NPI
Chrill Visiting Nurse Association
- Home Health Agency
- Montclair, NJ
National Provider Identifier
1740319508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1097906 | Other | NJ | HORIZON NJ HEALTH |
| 2391858 | Other | NJ | AETNA |
| 7651902 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
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.