Individual provider Active NPI

Vincent G Denotaris, LCADC

  • Addiction (Substance Use Disorder) Counselor
  • Verona, NJ
National Provider Identifier
1154799815
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
37LC00190000 Issued in NJ
Practice address
25 Pompton Ave
Suite 311
Verona, NJ 07044-2941
Phone
(973) 534-9276
NPI assigned
Sep 10, 2015
Last updated
Jan 23, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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 37LC00190000 NJ Primary

Addresses

Primary practice location

25 Pompton Ave
Suite 311
Verona, NJ 07044-2941

Mailing address

25 Pompton Ave
Suite 311
Verona, NJ 07044-2941
Phone (973) 534-9276

Other names 1

  • Addiction Counseling Vincent Denotaris Professional name

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
37LC00190000NJMDAddiction (Substance Use Disorder) Counselor

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1154799815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 POMPTON AVE",
            "address_2": "SUITE 311",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442941",
            "telephone_number": "973-534-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 POMPTON AVE",
            "address_2": "SUITE 311",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442941",
            "telephone_number": "973-534-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENOTARIS",
        "first_name": "VINCENT",
        "middle_name": "G",
        "credential": "LCADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-10",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00190000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADDICTION COUNSELING",
            "last_name": "DENOTARIS",
            "middle_name": "VINCENT",
            "credential": "LCADC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Verona, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.