Active NPI
Lais Marrero
- Marriage & Family Therapist
- Pompton Lakes, NJ
National Provider Identifier
1205643848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 37PC00866000
- Practice address
- 19 Iron Forge VLG S
Pompton Lakes, NJ 07442-1744 - Phone
- (201) 682-0975
- NPI assigned
- Dec 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 37PC00866000 | NJ | Primary |
Addresses
Primary practice location
19 Iron Forge VLG S
Pompton Lakes, NJ 07442-1744
Mailing address
19 Iron Forge VLG S
Pompton Lakes, NJ 07442-1744
Phone (201) 682-0975
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
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00866000 | NJ | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734393600000",
"number": "1205643848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 IRON FORGE VLG S",
"city": "POMPTON LAKES",
"state": "NJ",
"postal_code": "074421744",
"telephone_number": "201-682-0975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 IRON FORGE VLG S",
"city": "POMPTON LAKES",
"state": "NJ",
"postal_code": "074421744",
"telephone_number": "201-682-0975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARRERO",
"first_name": "LAIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-12-17",
"last_updated": "2024-12-17",
"certification_date": "2024-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NJ",
"license": "37PC00866000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pompton Lakes, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.