NPIMap

Organization Active NPI

Advanced Behavioral Counseling of Northern New Jersey LLC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Newton, NJ
National Provider Identifier
1184878449
Registry record updated Jan 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
26NN004737300 Issued in NJ
Legal business name
ADVANCED BEHAVIORAL COUNSELING OF NORTHERN NEW JERSEY LLC
Practice address
55 Newton-Sparta Road
Suite 104
Newton, NJ 07860-2056
Phone
(973) 579-9394
Fax
(973) 579-9392
NPI assigned
Nov 12, 2008
Last updated
Jan 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2013

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

Authorized official

Name
Ms. Deborah Marie Drumm, APN,BCNPI 1720192297
Title
Psychiatric Nurse Practitioner
Phone
(973) 579-9394

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NN0047373 NJ
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 26NN004737300 NJ Primary

Addresses

Primary practice location

55 Newton-Sparta Road
Suite 104
Newton, NJ 07860-2056

Mailing address

55 Newton Sparta Rd
Suite 104
Newton, NJ 07860-2772
Phone (973) 579-9394

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100416000687 NJ Part B Supplier - Clinic/Group Practice 9739216102 Receives reassigned benefits from 10 practitioners
Practice locations: Newton, NJ

National Provider Directory

National Provider Directory

Locations

55 Newton Sparta Rd
Ste 104
Newton, NJ 07860
Phone (973) 383-0908

93 Main St
Ste 1
Newton, NJ 07860
Phone (973) 384-0739

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358467200000",
    "number": "1184878449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 NEWTON SPARTA RD",
            "address_2": "SUITE 104",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602772",
            "telephone_number": "973-579-9394",
            "fax_number": "973-579-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 NEWTON-SPARTA ROAD",
            "address_2": "SUITE 104",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602056",
            "telephone_number": "973-579-9394",
            "fax_number": "973-579-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED BEHAVIORAL COUNSELING OF NORTHERN NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-12",
        "last_updated": "2013-01-18",
        "status": "A",
        "authorized_official_last_name": "DRUMM",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "973-579-9394",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APN,BC"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NN0047373",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "NJ",
            "license": "26NN004737300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.