Active NPI
Eleanor Fortuna
- Addiction (Substance Use Disorder) Counselor
- Ocean Gate, NJ
National Provider Identifier
1013457589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 37LC00046500
- Practice address
- 326 E Lakewood Ave
Ocean Gate, NJ 08740-1336 - Phone
- (732) 232-3137
- Fax
- (908) 928-9367
- NPI assigned
- Mar 3, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00046500 | NJ | Primary |
Addresses
Primary practice location
326 E Lakewood Ave
Ocean Gate, NJ 08740-1336
Mailing address
PO Box 1274
Ocean Gate, NJ 08740-1274
Phone (732) 232-3137
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 |
|---|---|---|---|
| 37LC00046500 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488499200000",
"number": "1013457589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1274",
"city": "OCEAN GATE",
"state": "NJ",
"postal_code": "087401274",
"telephone_number": "732-232-3137",
"fax_number": "908-928-9367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 E LAKEWOOD AVE",
"city": "OCEAN GATE",
"state": "NJ",
"postal_code": "087401336",
"telephone_number": "732-232-3137",
"fax_number": "908-928-9367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTUNA",
"first_name": "ELEANOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-03",
"last_updated": "2017-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "37LC00046500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocean Gate, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.