PRIORITY HEALTH AND WELLNESS OF MONTVALE, LLC (NPI# 1881247054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881247054 |
| Entity Type | Organization |
| Organization Name | PRIORITY HEALTH AND WELLNESS OF MONTVALE, LLC |
| Practice Address |
136 Summit Ave Ste 102 Montvale NJ 07645-1720 |
| Practice Telephone | 2013918600 |
| Practice Fax Number | 2013918605 |
| Mailing Telephone | 2013918600 |
| Mailing Fax Number | 2013918605 |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-07-17 |
| Authorized Official Name | DR. RENATO M CAPPELLO (EMPLOYEE/ SOLE MEMBER LLC) |
| Authorized Official Telephone | 2013918600 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 136 Summit Ave Ste 102, Montvale, NJ 076451720 | 2013918600 | 2013918605 |
| Street Address |
136 SUMMIT AVE STE 102 |
| City | MONTVALE |
| State | NJ |
| Zip Code | 07645-1720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851954416 | Dong Heon Oh Dds PC | Dentist | 305 W Gand Avenue, Suite 600, Montvale, NJ 07645 | 2019-04-19 |
| 1053884999 | Everas Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9 East Grand Avenue, Montvale, NJ 07645 | 2019-01-03 |
| 1528547890 | New Horizons In Autism, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 9 Grand Avenue, Montvale, NJ 07645 | 2018-08-08 |
| 1255859658 | Wegmans Food Markets, Inc. | Pharmacy | 100 Farm View, Montvale, NJ 07645 | 2017-09-06 |
| 1700254810 | Dipal Patel | Physical Therapist | 15 Kinderkamack Road South, Montvale, NJ 07645 | 2015-09-04 |
| 1871912675 | Marvin E. Mayerson | Pharmacist | 11 Ellsworth Terrace, Montvale, NJ 07645 | 2014-04-09 |
| 1134426182 | Tri State Anesthesia, P.c | Anesthesiology | 133 N Kinderkamack Rd, Montvale, NJ 07645 | 2011-02-26 |
| 1336383637 | Ping Gu | Internal Medicine | 225 Summit Avenue, Montvale, NJ 07645 | 2009-04-30 |
| 1891936779 | Olga Akselrod | Physician Assistant | 225 Summit Ave, Montvale, NJ 07645 | 2009-03-23 |
| 1700058393 | Catherine Slutzky | Speech-Language Pathologist | 4 Woodland Road, St Paul's Episcopal Church, Montvale, NJ 07645 | 2008-03-24 |
| Find all providers in zip 07645 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1801416144 | Unify Select Health LLC | Clinic/Center | 800 Lanidex Plz Ste 100, Parsippany, NJ 07054-2734 | 2020-04-16 |
| 1902425424 | Bridge To Life Clinical Consultants, LLC | Clinic/Center | 26 Fern Ct, Sayreville, NJ 08872-2103 | 2020-04-14 |
| 1417580887 | Community Urgent Care Nj Pa | Clinic/Center | 101 Clifton Ave, Lakewood, NJ 08701-3334 | 2020-02-13 |
| 1386275352 | Mgm Medical Center | Clinic/Center | 262 William St, East Orange, NJ 07017-4324 | 2020-01-29 |
| 1316580632 | R-health Primary Care Medical Home LLC | Clinic/Center | 2 Cooper St, Camden, NJ 08102-2348 | 2019-10-18 |
| 1124586326 | Newmed Mua LLC | Clinic/Center | 831 Main Ave Ste 5a, Passaic, NJ 07055-8400 | 2019-03-06 |
| 1790253722 | Completecure Medical Associates, LLC | Clinic/Center | 1005 Clifton Ave Ste 201, Clifton, NJ 07013-3523 | 2018-11-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.