Montville Family Practice Associates, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MONTVILLE FAMILY PRACTICE ASSOCIATES, PA

Practice address

137 Main Road
Suite 200
Montville, NJ 07045

Phone

(973) 402-0025

Fax

(973) 402-0508

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Tiffany Percan

Title

Credential

Phone

(973) 402-0025

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline Filion, D.O.

  • Family Medicine Physician
  • Montville, NJ
  • NPI 1184704934
  Medicare reassignment Care Compare group
• Rahman Ryan Subrati, MD

  • Family Medicine Physician
  • Montville, NJ
  • NPI 1932479094
  Medicare reassignment Care Compare group
• Nimfa Gozum Gabriana, M.D.

  • Family Medicine Physician
  • Middletown, NY
  • NPI 1376777821

  NJ

  Medicare reassignment Care Compare group
• Amy Wu Choudhury, APN

  • Nurse Practitioner
  • Edison, NJ
  • NPI 1043190028
  Medicare reassignment NPD
• Megan Theresa Johnson, APN

  • Family Nurse Practitioner
  • Boonton TWP, NJ
  • NPI 1619749611
  Medicare reassignment NPD
• William Keating, D.O.

  • Family Medicine Physician
  • Montville, NJ
  • NPI 1770670101
  Medicare reassignment
• Susan E Kelly, FNP

  • Family Nurse Practitioner
  • Newark, NJ
  • NPI 1154429660
  Medicare reassignment
• Sofia Anna Skulsky, AGPCNP-BC

  • Primary Care Nurse Practitioner
  • Parsippany, NJ
  • NPI 1912466939
  Medicare reassignment
• Joelle Stabile Rehberg, D.O.

  • Sports Medicine (Family Medicine) Physician
  • Morristown, NJ
  • NPI 1477640837
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1841347523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 MAIN ROAD",
            "address_2": "SUITE 200",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "07045",
            "telephone_number": "973-402-0025",
            "fax_number": "973-402-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 MAIN ROAD",
            "address_2": "SUITE 200",
            "city": "MONTVILLE",
            "state": "NJ",
            "postal_code": "07045",
            "telephone_number": "973-402-0025",
            "fax_number": "973-402-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTVILLE FAMILY PRACTICE ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "PERCAN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "CREDENTIAL",
        "authorized_official_telephone_number": "973-402-0025"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5003709",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Montville Center for Dentistry LLC
• Montville Chiropractic
• Montville Dental Studio LLC
• Montville Dermatology and Laser Center
• Montville Endodontics, LLC
• Montville Medical, LLC
• Montville Oral Surgery Associates, L.L.C.
• Montville Orthodontic Associates
• Montville Park Physician Associates
• Montville Pharmacy NJ Corp

• Family Medicine Physician in Montville, NJ
• Providers in Montville, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.