HEALTHY TRANSITIONS LLC NPI 1114116472

NPI Information

NPI: 1114116472
Provider Name: HEALTHY TRANSITIONS, LLC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
50 CHURCH ST STE L3
MONTCLAIR, NJ
ZIP 07042
Phone: (908) 647-1688
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HEALTHY TRANSITIONS, LLC is a health service clinic center in Montclair, NJ. HEALTHY TRANSITIONS, LLC NPI is 1114116472. The provider is registered as an organization entity type.

The provider's business location address is:

50 CHURCH ST STE L3
MONTCLAIR, NJ
ZIP 07042-772
Phone: (908) 647-1688
Fax: (908) 647-1688

The provider's authorized official is Diane Bruessow .
The authorized official title is Managing Member and has the following contact phone number (908) 647-1688.

The enumeration date for this NPI number is 10/23/2007 and was last updated on 4/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	25MA05818600	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	25MA05818600	OTHER	NEW JERSEY	LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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