Organization Active NPI

David Aichroth Lcadc, LSW,

  • Addiction (Substance Use Disorder) Counselor
  • Springfield, NJ
National Provider Identifier
1205155637
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
3LC00163100 Issued in NJ
Legal business name
DAVID AICHROTH LCADC, LSW,
Practice address
11 Dundar Rd Ste 105
Springfield, NJ 07081-3513
Phone
(631) 219-9503
Fax
(908) 822-0449
NPI assigned
May 25, 2010
Last updated
May 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Authorized official

Name
Mr. David Andre Aichroth Jr., LCADC
Title
Licensed Clinical Alchol and Drug C
Phone
(631) 219-9503

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 3LC00163100 NJ Primary
Social Worker 104100000X 44SL05429400 NJ

Addresses

Primary practice location

11 Dundar Rd Ste 105
Springfield, NJ 07081-3513

Mailing address

11 Dundar Rd Ste 105
Springfield, NJ 07081-3513
Phone (631) 219-9503

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1205155637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 DUNDAR RD STE 105",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813513",
            "telephone_number": "631-219-9503",
            "fax_number": "908-822-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 DUNDAR RD STE 105",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813513",
            "telephone_number": "631-219-9503",
            "fax_number": "908-822-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID AICHROTH LCADC, LSW,",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "AICHROTH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANDRE",
        "authorized_official_title_or_position": "LICENSED CLINICAL ALCHOL AND DRUG C",
        "authorized_official_telephone_number": "631-219-9503",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LCADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "3LC00163100",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05429400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.