Celeste a. Jacque MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

MA042633 Issued in NJ

Legal business name

CELESTE A. JACQUE MD

Practice address

201 S Livingston Ave
Suite 1a
Livingston, NJ 07039-4043

Phone

(973) 994-1500

Fax

(973) 994-1606

NPI assigned

Mar 11, 2008

Last updated

Mar 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Frager

Title

Billing Manager

Phone

(636) 464-8422

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1922278563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S LIVINGSTON AVE",
            "address_2": "SUITE 1A",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394043",
            "telephone_number": "973-994-1500",
            "fax_number": "973-994-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S LIVINGSTON AVE",
            "address_2": "SUITE 1A",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070394043",
            "telephone_number": "973-994-1500",
            "fax_number": "973-994-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CELESTE A. JACQUE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "FRAGER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "636-464-8422"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "MA042633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian D Casella, DPT
• Diana M Castaneda, LSW
• Krystle Panerio Castro, RN RNFA
• Christine Ceaser
• Natalie A Cekleniak, MD
• Schailah Ceneus
• Center for Integrative Health and Therapies
• Center for Rheumatic & Autoimmune Diseases
• Central New Jersey Medical Office, LLC
• Luanne R Centrella, DC,L.AC

• Child & Adolescent Psychiatry Physician in Livingston, NJ
• Providers in Livingston, NJ by specialty
• Child & Adolescent Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.