Active NPI
Greg R Ieraci, LPC, NCC
- Professional Counselor
- Teaneck, NJ
National Provider Identifier
1346796497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00518400
- Practice address
- 121 Cedar LN
Suite 3-a
Teaneck, NJ 07666-4457 - Phone
- (732) 582-4372
- NPI assigned
- Aug 29, 2016
- 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 | 37PC00518400 | NJ | Primary |
Addresses
Primary practice location
121 Cedar LN
Suite 3-a
Teaneck, NJ 07666-4457
Mailing address
121 Cedar LN
Suite 3-a
Teaneck, NJ 07666-4457
Phone (732) 582-4372
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00518400 | NJ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472428800000",
"number": "1346796497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 CEDAR LN",
"address_2": "SUITE 3-A",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076664457",
"telephone_number": "732-582-4372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 CEDAR LN",
"address_2": "SUITE 3-A",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076664457",
"telephone_number": "732-582-4372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IERACI",
"first_name": "GREG",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "LPC, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-29",
"last_updated": "2016-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00518400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.