Active NPI
Melanie Defazio, LPC
- Counselor
- Pompton Lakes, NJ
National Provider Identifier
1235487646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 37PC00381500
- Practice address
- 103 Mountainside Dr
Pompton Lakes, NJ 07442-1760 - Phone
- (973) 598-5317
- NPI assigned
- Aug 16, 2012
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 37PC00381500 | NJ | Primary |
Addresses
Primary practice location
103 Mountainside Dr
Pompton Lakes, NJ 07442-1760
Mailing address
103 Mountainside Dr
Pompton Lakes, NJ 07442-1760
Phone (973) 598-5317
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00381500 | NJ | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345075200000",
"number": "1235487646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 MOUNTAINSIDE DR",
"city": "POMPTON LAKES",
"state": "NJ",
"postal_code": "074421760",
"telephone_number": "973-598-5317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 MOUNTAINSIDE DR",
"city": "POMPTON LAKES",
"state": "NJ",
"postal_code": "074421760",
"telephone_number": "973-598-5317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEFAZIO",
"first_name": "MELANIE",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-16",
"last_updated": "2012-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NJ",
"license": "37PC00381500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pompton Lakes, NJ
- Kathleen Danaher, M A, L P C
- Raymond Joseph De Felice Jr., DC
- Melinda Debell
- Susan Jane Debell, LPC, RN
- Karen Marie Decker, M.ED., NCC
- Mary Alice Demarco, M.ED.
- Department of Special Education of the Roman Catholic Diocese of Pater
- Department of Special Education of the Roman Catholic Diocese of Pater
- Kandice Popkin Deutsch, M.ED.
- Diagnostix Physical Therapy and Rehabilitation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.