Active NPI
Edmund John Rung Jr., LCSW
- Counselor
- Montclair, NJ
National Provider Identifier
1003220468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- SC01303
- Practice address
- 33 Park St.
Edmund J. Rung, Jr
Montclair, NJ 07042 - Phone
- (908) 578-9665
- NPI assigned
- Jun 13, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | SC01303 | NJ | Primary |
Addresses
Primary practice location
33 Park St.
Edmund J. Rung, Jr
Montclair, NJ 07042
Mailing address
33 Park St.
Montclair, NJ 07042
Phone (908) 578-9665
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC01303 | NJ | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402617600000",
"number": "1003220468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 PARK ST.",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "07042",
"telephone_number": "908-578-9665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 PARK ST.",
"address_2": "EDMUND J. RUNG, JR",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "07042",
"telephone_number": "908-578-9665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUNG",
"first_name": "EDMUND",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-13",
"last_updated": "2014-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NJ",
"license": "SC01303",
"primary": true
}
],
"identifiers": [],
"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 Jun 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.