Individual provider Active NPI

Nicholas Cerami, MA, LPC, LCADC, ACS

  • Professional Counselor
  • Summit, NJ
National Provider Identifier
1073872990
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00437200 Issued in NJ
Practice address
450 Springfield Ave Ste 302
Summit, NJ 07901-2611
Phone
(201) 452-2053
NPI assigned
May 11, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00202100 NJ
Professional Counselor 101YP2500X 37PC00437200 NJ Primary

Addresses

Primary practice location

450 Springfield Ave Ste 302
Summit, NJ 07901-2611

Mailing address

2780 Morris Ave
Suite 2D
Union, NJ 07083-4852
Phone (201) 452-2053

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
37LC00202100NJMDAddiction (Substance Use Disorder) Counselor
37PC00437200NJMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1073872990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 MORRIS AVE",
            "address_2": "SUITE 2D",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070834852",
            "telephone_number": "201-452-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SPRINGFIELD AVE STE 302",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079012611",
            "telephone_number": "201-452-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERAMI",
        "first_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "credential": "MA, LPC, LCADC, ACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-11",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00202100",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00437200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.