Jennifer Vinces-Cua

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00560500 Issued in NJ

Practice address

214 Central Avenue
Mountainside, NJ 07092-0709

Phone

(410) 893-4600

Fax

(443) 640-4358

NPI assigned

Aug 18, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503014400000",
    "number": "1174049407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 STIRLING RD",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070695942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 CENTRAL AVENUE",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070920709",
            "telephone_number": "410-893-4600",
            "fax_number": "443-640-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCES-CUA",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2017-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004762",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00560500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Vander Valk
• Sheryl Lisa Vassallo, MD
• Nita Vaswani, D.O.
• Danielle Alyse Vazquez, OTR
• Kristen Victorino, PH.D.
• Kaitlin Anne Ward
• Nicole Ward
• Warrior Gains LLC
• Jeffrey M Warshauer, D.O.
• Ilya Weiner, PSYD

• Professional Counselor in Mountainside, NJ
• Providers in Mountainside, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.