Healthy Transitions, LLC
Clinic/Center, Health Services in Montclair, New Jersey
1114116472- Practice location
- 50 Church St Ste L3, Montclair, NJ 07042-2772
- Phone
- 908-647-1688
- Fax
- 908-647-1688
- Last updated
- April 8, 2024
Healthy Transitions, LLC is a healthcare organization based in Montclair, NJ. Healthy Transitions, LLC practices in Montclair, NJ. The NPI Number for Healthy Transitions, LLC is 1114116472 and holds a License No. 25MA05818600 (NJ). The current practice location address for Healthy Transitions, LLC is 50 Church St Ste L3, Montclair, NJ 07042-2772 and can be reached out via phone at 908-647-1688 and via fax at 908-647-1688.
Provider Profile Details
- NPI Number
- 1114116472
- Provider Name
- Healthy Transitions, LLC
- Provider Entity Type
- Organization
- Address
- 50 Church St Ste L3, Montclair, NJ 07042-2772
- Phone Number
- 908-647-1688
- Fax Number
- 908-647-1688
- Primary Taxonomy
- Clinic/Center, Health Services · 261QH0100X
- Organization Subpart
- No
- Authorized Official
- Diane Bruessow, PA · Managing Member · 908-647-1688
- Provider Enumeration Date
- October 23, 2007
- Last Update Date
- April 8, 2024
- Certification Date
- April 8, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 50 Church St Ste L3
Montclair, NJ 07042-2772 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-2772
- Phone Number
- 908-647-1688
- Fax Number
- 908-647-1688
Provider Business Mailing Address Details
- Address
- 50 Church St Ste L3
Montclair, NJ 07042-2772 - City
- Montclair
- State
- NJ
- Zip
- 07042-2772
- Phone Number
- 908-647-1688
- Fax Number
- 908-647-1688
License Information
- License Number
- 25MA05818600
- License State
- NJ
- Taxonomy
- Clinic/Center, Health Services · 261QH0100X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Healthy Transitions, LLC?
The NPI number of Healthy Transitions, LLC is 1114116472. It was assigned on October 23, 2007 and is currently active in the NPPES registry.
What is the specialty of Healthy Transitions, LLC?
Healthy Transitions, LLC is registered under the primary taxonomy Clinic/Center, Health Services (code 261QH0100X), licensed in NJ under license number 25MA05818600.
Where does Healthy Transitions, LLC practice?
The practice location is 50 Church St Ste L3, Montclair, NJ 07042-2772. The office can be reached at 908-647-1688 (phone) or 908-647-1688 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114116472 directly on the NPPES registry website.