Individual provider Active NPI

Jon James Gaspich, L.C.A.D.C,C.S.W

  • Addiction (Substance Use Disorder) Counselor
  • Little Egg Harbor, NJ
National Provider Identifier
1114052875
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
37LC00102100 Issued in NJ
Practice address
16 John St
Little Egg Harbor, NJ 08087-9615
Phone
(609) 294-2790
NPI assigned
Feb 22, 2007
Last updated
Jun 11, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

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 37LC00102100 NJ Primary
Social Worker 104100000X 44SW00545100 NJ

Addresses

Primary practice location

16 John St
Little Egg Harbor, NJ 08087-9615

Mailing address

16 John St
Little Egg Harbor, NJ 08087-9615
Phone (609) 294-2790

Other identifiers 2

IdentifierTypeStateIssuer
37LC00102100OtherNJLACDC
44SW00545100OtherNJCERTIFED SOCIAL WORKER

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
37LC00102100NJMDAddiction (Substance Use Disorder) Counselor
44SW00545100NJMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1114052875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 JOHN ST",
            "city": "LITTLE EGG HARBOR",
            "state": "NJ",
            "postal_code": "080879615",
            "telephone_number": "609-294-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 JOHN ST",
            "city": "LITTLE EGG HARBOR",
            "state": "NJ",
            "postal_code": "080879615",
            "telephone_number": "609-294-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASPICH",
        "first_name": "JON",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "L.C.A.D.C,C.S.W",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00102100",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SW00545100",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LACDC",
            "identifier": "37LC00102100",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFED SOCIAL WORKER",
            "identifier": "44SW00545100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Egg Harbor, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; 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.