Individual provider Active NPI

Adolfo L Lopez-Quintero, LCSW, LCADC

  • Clinical Social Worker
  • New Brunswick, NJ
National Provider Identifier
1275822462
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC06384700 Issued in NJ
Practice address
303 George St Ste 200
New Brunswick, NJ 08901-2009
Phone
(908) 458-5541
NPI assigned
Mar 29, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00303500 NJ
Clinical Social Worker 1041C0700X 44SC06384700 NJ Primary

Addresses

Primary practice location

303 George St Ste 200
New Brunswick, NJ 08901-2009

Mailing address

303 George St Ste 200
New Brunswick, NJ 08901-2009
Phone (908) 458-5541

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240917002091 NJ Practitioner - Clinical Social Worker 6901347038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

671 Hoes LN W
RM C205
Piscataway, NJ 08854-8021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37LC00303500NJMDAddiction (Substance Use Disorder) Counselor
44SC06384700NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rutgers Health - Behavioral Health CurrentSince Sep 4, 2024 Accepting new patients
Rutgers Health - University Behavioral Health Care CurrentSince Sep 4, 2024 Accepting new patients
Rutgers Health - Behavioral Health Current Accepting new patients

Locations

303 George St
Ste 200
New Brunswick, NJ 08901
Phone (732) 235-4410

303 George St
Fl 2
New Brunswick, NJ 08901
Phone (732) 235-6800

183 S Orange Ave
Newark, NJ 07103
Phone (973) 972-0004

671 Hoes Ln W
Rm D3381
Piscataway, NJ 08854
Phone (732) 235-3289

671 Hoes Ln W
Rm C205
Piscataway, NJ 08854
Phone (732) 235-4040

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1275822462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 GEORGE ST STE 200",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012009",
            "telephone_number": "908-458-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 GEORGE ST STE 200",
            "city": "NEW BRUNSWICK",
            "state": "NJ",
            "postal_code": "089012009",
            "telephone_number": "908-458-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-QUINTERO",
        "first_name": "ADOLFO",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-29",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00303500",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06384700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.