Michael & Lori Ippolito

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MICHAEL & LORI IPPOLITO

Practice address

567 Franklin Ave
Suite 202
Belleville, NJ 07109-1552

Phone

(973) 667-6074

Fax

(973) 751-1626

NPI assigned

Jan 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Lori Ippolito, PH.D.

Title

Director

Phone

(973) 667-6074

Specialties & licenses 1

Addresses

Other names 1

• The Philmore Associates Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen Pete, LPC

  • Mental Health Counselor
  • Nutley, NJ
  • NPI 1619233210
  NPD (past)
• Krista Santos, LCSW

  • Clinical Social Worker
  • Nutley, NJ
  • NPI 1518473917
  NPD (past)

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1356613079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FRANKLIN AVE",
            "address_2": "PO BOX 599",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071100599",
            "telephone_number": "973-667-6074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "567 FRANKLIN AVE",
            "address_2": "SUITE 202",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091552",
            "telephone_number": "973-667-6074",
            "fax_number": "973-751-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL & LORI IPPOLITO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "IPPOLITO",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-667-6074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Philmore Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jyoti Mehta, OTR CHT
• Michael J Mellace, RPH
• Allan Roque Mendez, PT, DPT, SCS
• Carl F Mercurio, MD
• Lilibet M Mesa Dorta, DMD
• Michael M. Brand, M.D.,P.a.
• Midpoint Drugs, LLC
• Maro Mikhaeil
• Mario Jr Millan, HEALTH ADULT DAYCARE
• Ivan Miller, MD

• Clinical Social Worker in Belleville, NJ
• Providers in Belleville, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.