Organization Active NPI

Brian C. Della Pesca Ma LPC, LLC

  • Professional Counselor
  • Bayonne, NJ
National Provider Identifier
1255577052
Registry record updated Dec 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00033100 Issued in NJ
Legal business name
BRIAN C. DELLA PESCA MA LPC, LLC
Practice address
473 Broadway
Suite 307
Bayonne, NJ 07002
Phone
(973) 980-2955
Fax
(201) 254-9928
NPI assigned
Dec 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2008

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

Authorized official

Name
Mr. Brian Charles Della Pasca, LPC
Title
Owner
Phone
(973) 980-2955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 37PC00033100 NJ Primary

Addresses

Primary practice location

473 Broadway
Suite 307
Bayonne, NJ 07002

Mailing address

PO Box 1232
Fair Lawn, NJ 07410
Phone (973) 980-2955

National Provider Directory

National Provider Directory

Locations

473 Broadway
Ste 307
Bayonne, NJ 07002
Phone (973) 980-2955

NPI Registry JSON

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1255577052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1232",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "07410",
            "telephone_number": "973-980-2955",
            "fax_number": "201-254-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 BROADWAY",
            "address_2": "SUITE 307",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "07002",
            "telephone_number": "973-980-2955",
            "fax_number": "201-254-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN C. DELLA PESCA MA LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-29",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "DELLA PASCA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-980-2955",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00033100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; 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.