Active NPI
Robert Angelo Pedevillano, MS, LPC
- Professional Counselor
- Cranford, NJ
National Provider Identifier
1346372935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00052300
- Practice address
- 23 North Ave E
First Floor
Cranford, NJ 07016-2196 - Phone
- (908) 230-5554
- Fax
- (908) 272-5696
- NPI assigned
- Mar 10, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00052300 | NJ | Primary |
Addresses
Primary practice location
23 North Ave E
First Floor
Cranford, NJ 07016-2196
Mailing address
23 North Ave E
First Floor
Cranford, NJ 07016-2196
Phone (908) 230-5554
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00052300 | NJ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346372935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 NORTH AVE E",
"address_2": "FIRST FLOOR",
"city": "CRANFORD",
"state": "NJ",
"postal_code": "070162196",
"telephone_number": "908-230-5554",
"fax_number": "908-272-5696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 NORTH AVE E",
"address_2": "FIRST FLOOR",
"city": "CRANFORD",
"state": "NJ",
"postal_code": "070162196",
"telephone_number": "908-230-5554",
"fax_number": "908-272-5696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDEVILLANO",
"first_name": "ROBERT",
"middle_name": "ANGELO",
"name_prefix": "Mr.",
"credential": "MS, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00052300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cranford, NJ
- Purvi Patel, OT
- Rupa Patel, MD
- Pathlogixs, Inc. (Pathinnovations, Inc.)
- Carol Anne Patterson, PT OCS CHT
- Eric Richard Pawlick
- Pediatric Specialty Care Servces, LLC (Hope Pediatrics Medical Day Care Center)
- Rachel Pender, OTR/L
- Julia Perrotta, MA, CCC-SLP
- Charmaine Rosemarie Perry, MS, LPC, NCC
- Personal Care Podiatry LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.