HIGH MOUNTAIN HEALTH (NPI# 1134260631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134260631 |
| Entity Type | Organization |
| Organization Name | HIGH MOUNTAIN HEALTH |
| Other Organization Name | HIGH MOUNTAIN HEALTH - WAYNE VALLEY |
| Practice Address |
468 Parish Dr Wayne NJ 07470-4671 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 9733058300 |
| Mailing Telephone | 8586252990 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2012-10-16 |
| Authorized Official Name | MR. KENNY HEINE (SR DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | 25MA04456600 | NJ | Suppliers |
| Other Name | Type Code |
|---|---|
| High Mountain Health - Wayne Valley | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386967958 | High Mountain Health | Non-Pharmacy Dispensing Site | 246 Hamburg Tpke, Suite 205, Wayne, NJ 07470-2156 | 2010-03-10 |
| Street Address |
468 PARISH DR |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470-4671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932103355 | Arkadiy Shraytman | Family Medicine | 468 Parish Dr, Suite 1, Wayne, NJ 07470-4671 | 2005-06-13 |
| 1982056164 | Shawne Simone | Nurse Practitioner | 468 Parish Dr, Wayne, NJ 07470 | 2016-07-12 |
| 1366823825 | Laura C Freire | Nurse Practitioner | 468 Parish Dr, Wayne, NJ 07470-4671 | 2015-06-10 |
| 1922169929 | High Mountain Radiology | Radiology | 468 Parish Dr, Suite 6, Wayne, NJ 07470-4671 | 2006-12-13 |
| 1700954690 | Ronda White | Family Medicine | 468 Parish Dr, Suite 6, Wayne, NJ 07470-4671 | 2006-12-01 |
| 1407924095 | Christa M Marco | Nurse Practitioner | 468 Parish Dr, Suite 6, Wayne, NY 07470 | 2006-12-01 |
| 1952479842 | Helder Rebelo | Family Medicine | 468 Parish Dr, Suite 6, Wayne, NJ 07470-4671 | 2006-12-01 |
| 1205919396 | Karen Cortellino | Radiologic Technologist | 468 Parish Dr, Suite 6, Wayne, NJ 07470-4671 | 2006-10-23 |
| 1225069594 | Dennis Orland | Family Medicine | 468 Parish Dr, Suite6, Wayne, NJ 07470-4671 | 2006-07-05 |
| 1659301117 | Gary Pepe | Family Medicine | 468 Parish Dr, Suite 6, Wayne, NJ 07470-4671 | 2006-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| Find all providers in zip 07470 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386967958 | High Mountain Health | Non-Pharmacy Dispensing Site | 246 Hamburg Tpke, Suite 205, Wayne, NJ 07470-2156 | 2010-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346716834 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 3830 Atlantic Avenue, Atlantic City, NJ 08401 | 2018-10-23 |
| 1942787981 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 63 Route 70 E, Evesham, NJ 08053-1749 | 2018-07-23 |
| 1750881082 | Qpharma Inc | Non-Pharmacy Dispensing Site | 1613 Route 47, Rio Grande, NJ 08242-1411 | 2018-02-13 |
| 1588187439 | Advanced Feet and Ankle Care | Non-Pharmacy Dispensing Site | 2477 County Rd 516, Old Bridge, NJ 08857-4603 | 2017-07-24 |
| 1275054967 | Nj Pain Care Specialists | Non-Pharmacy Dispensing Site | 1806 Route 35 Ste 305, Oakhurst, NJ 07755-2764 | 2017-07-03 |
| 1053855601 | Edward Magaziner, Md | Non-Pharmacy Dispensing Site | 2186 New Jersey 27, North Brunswick, NJ 08902 | 2016-12-15 |
| 1457701088 | Medical Art Center | Non-Pharmacy Dispensing Site | 950 State Route 35, Middletown, NJ 07748-2603 | 2016-06-14 |
| 1285080507 | Jersey Shore Sports Medicine, LLC | Non-Pharmacy Dispensing Site | 801 A Central Ave, Ocean City, NJ 08226 | 2016-05-05 |
| 1326493040 | Caligor Opco LLC | Non-Pharmacy Dispensing Site | 801 Penhorn Ave, Unit #4, Secaucus, NJ 07094-2150 | 2016-05-02 |
| 1972957660 | Atlanticare Physician Group Pa | Non-Pharmacy Dispensing Site | 1310 Blackwood Clementon Rd, Clementon, NJ 08021-5610 | 2016-04-19 |
| Find all providers with the same taxonomy | ||||
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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.