David Joseph Beneduci Sr., MS LPC
Individual provider Active NPI Counselor · Ocean Grove, NJ
NPI 1043374978 · NPPES record last updated Sep 20, 2010
Key facts
- NPI
- 1043374978
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 107 Asbury Ave
Ocean Grove, NJ 07756-1401 - Phone
- (732) 610-3112
- NPI assigned
- Dec 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1205 Hwy 35
Ocean, NJ 07712
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240508002399 | NJ | Practitioner - Mental Health Counselor | 4688015605 | Practice locations: Ocean, NJ |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
107 Asbury Ave
Ocean Grove, NJ 07756-1401
Mailing address
107 Asbury Ave
Ocean Grove, NJ 07756-1401
Phone (732) 610-3112
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 210634494 | Other | NJ | EMPLOYER TAX I.D. NUMBER |
Other names
- Mr. David Joseph Beneduci Sr.
Other providers in Ocean Grove, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.