Priority Health and Wellness of Montvale, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PRIORITY HEALTH AND WELLNESS OF MONTVALE, LLC

Practice address

136 Summit Ave Ste 102
Montvale, NJ 07645-1720

Phone

(201) 391-8600

Fax

(201) 391-8605

NPI assigned

Jul 17, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Renato M Cappello, DC

Title

Employee/ Sole Member LLC

Phone

(201) 391-8600

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1881247054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 SUMMIT AVE STE 102",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451720",
            "telephone_number": "201-391-8600",
            "fax_number": "201-391-8605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 SUMMIT AVE STE 102",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451720",
            "telephone_number": "201-391-8600",
            "fax_number": "201-391-8605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "136 Summit Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Montvale",
            "state": "NJ",
            "postal_code": "076451720",
            "country_code": "US",
            "telephone_number": "201-391-8600",
            "fax_number": "201-391-8605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIORITY HEALTH AND WELLNESS OF MONTVALE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "CAPPELLO",
        "authorized_official_first_name": "RENATO",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EMPLOYEE/ SOLE MEMBER LLC",
        "authorized_official_telephone_number": "201-391-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Injuryandpain@gmail.com",
            "affiliation": "N",
            "address_1": "136 Summit Ave Ste 102",
            "city": "Montvale",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076451720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Primary Care Clinic/Center in Montvale, NJ
• Providers in Montvale, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.