NPIMap

Organization Active NPI

Real House Inc.

  • Clinic/Center
  • Montclair, NJ
National Provider Identifier
1962644062
Registry record updated Apr 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
2000081 Issued in NJ
Legal business name
REAL HOUSE INC.
Practice address
95 Grove St
Montclair, NJ 07042-4005
Phone
(973) 746-2400
Fax
(973) 746-8551
NPI assigned
Apr 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2009

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

Authorized official

Name
Shawn Jennings
Title
Ceo
Phone
(973) 746-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 2000081 NJ Primary

Addresses

Primary practice location

95 Grove St
Montclair, NJ 07042-4005

Mailing address

95 Grove St
Montclair, NJ 07042-4005
Phone (973) 746-2400

Other identifiers 1

IdentifierTypeStateIssuer
0080977MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Real House Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238716800000",
    "number": "1962644062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 GROVE ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424005",
            "telephone_number": "973-746-2400",
            "fax_number": "973-746-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 GROVE ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424005",
            "telephone_number": "973-746-2400",
            "fax_number": "973-746-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL HOUSE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-03",
        "last_updated": "2009-04-03",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "973-746-2400"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "2000081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0080977",
            "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 Apr 3, 2009; 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.