Angela Saliba, LCADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

10 Somerdale Square
1200 South White Horse Pike
Somerdale, NJ 08083-1345

Phone

(856) 679-2500

Fax

(856) 282-1608

NPI assigned

Jan 7, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bravo Medical, LLC

  • Methadone Clinic
  • Somerdale, NJ
  • NPI 1427602960
  NPD

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1124668256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 RENAISSANCE BLVD FL 4",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062781",
            "telephone_number": "484-803-9663",
            "fax_number": "484-393-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SOMERDALE SQUARE",
            "address_2": "1200 SOUTH WHITE HORSE PIKE",
            "city": "SOMERDALE",
            "state": "NJ",
            "postal_code": "080831345",
            "telephone_number": "856-679-2500",
            "fax_number": "856-282-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALIBA",
        "first_name": "ANGELA",
        "credential": "LCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francine J Rebhun, DMD
• Cynthia Laverne Richardson
• Rite Aid of New Jersey Inc
• Candice A Robinson
• Rutgers School of Dental Medicine
• Select Therapy, Inc.
• Caitlyn Snyder, LSW
• Somerdale Boe
• Somerdale Family Dental Associates PA
• Chelsea L Soulliard

• Addiction (Substance Use Disorder) Counselor in Somerdale, NJ
• Providers in Somerdale, NJ by specialty
• Addiction (Substance Use Disorder) Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.