Individual provider Active NPI

Tanesha Robinson

  • Addiction (Substance Use Disorder) Counselor
  • Colonia, NJ
National Provider Identifier
1356098149
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
1503 Saint Georges Ave Ste 106
Colonia, NJ 07067-3427
Phone
(908) 388-1716
Fax
(856) 212-1214
NPI assigned
Mar 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

1503 Saint Georges Ave Ste 106
Colonia, NJ 07067-3427

Mailing address

1503 Saint Georges Ave Ste 106
Colonia, NJ 07067-3427
Phone (908) 388-1716

Other identifiers 1

IdentifierTypeStateIssuer
37LC00260400OtherNJSTATE LICENSE

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dream Physicians CurrentSince Sep 27, 2020 Accepting new patients

Locations

1503 Saint Georges Ave
Ste 106
Colonia, NJ 07067
Phone (908) 388-1716

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GFHICD/Endpoint/GFHICD

Organizations & group practices 1

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": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1356098149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 SAINT GEORGES AVE STE 106",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070673427",
            "telephone_number": "908-388-1716",
            "fax_number": "856-212-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 SAINT GEORGES AVE STE 106",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070673427",
            "telephone_number": "908-388-1716",
            "fax_number": "856-212-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "TANESHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-02",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "37LC00260400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonia, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.