Individual provider Active NPI

David Charles Szarka

  • Addiction (Substance Use Disorder) Counselor
  • Hamilton, NJ
National Provider Identifier
1073145595
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
2000585 Issued in NJ
Practice address
3535 Quakerbridge Rd
Hamilton, NJ 08619-1200
Phone
(609) 619-1590
NPI assigned
Feb 12, 2020
Last updated
Feb 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2000585 NJ Primary

Addresses

Primary practice location

3535 Quakerbridge Rd
Hamilton, NJ 08619-1200

Mailing address

3526 Klockner Rd
Hamilton, NJ 08691-3347
Phone (609) 649-2447

Other identifiers 1

IdentifierTypeStateIssuer
2000585OtherNJFOOTPRINTS TO RECOVERY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL lcoffey@footprintstorecovery.com Direct

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

LicenseStateTypeSpecialty
2000585NJMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1073145595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3526 KLOCKNER RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086913347",
            "telephone_number": "609-649-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 QUAKERBRIDGE RD",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086191200",
            "telephone_number": "609-619-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZARKA",
        "first_name": "DAVID",
        "middle_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "2000585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FOOTPRINTS TO RECOVERY",
            "identifier": "2000585",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lcoffey@footprintstorecovery.com",
            "affiliation": "N",
            "endpointDescription": "Supervisor Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3535 Quakerbridge Rd",
            "city": "Hamilton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086191200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.