Amy Bako
Individual provider Active NPI Counselor · Hewitt, NJ
NPI 1184342115 · NPPES record last updated Aug 16, 2022
Key facts
- NPI
- 1184342115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- 37AC00647200 (NJ)
- Practice address
- 81 Warwick Tpke
Hewitt, NJ 07421-2816 - Phone
- (973) 506-6645
- Fax
- (973) 506-4533
- NPI assigned
- Aug 16, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37AC00647200 | NJ | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 37AC00647200 | NJ | Yes |
Addresses
Primary practice location
81 Warwick Tpke
Hewitt, NJ 07421-2816
Mailing address
81 Warwick Tpke
Hewitt, NJ 07421-2816
Phone (973) 506-6645
Other providers in Hewitt, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.