Individual provider Active NPI

John A. Kakolewski, MS,ED.S

  • Marriage & Family Therapist
  • Ridgewood, NJ
National Provider Identifier
1366658866
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
982 Issued in NJ
Practice address
88 W Ridgewood Ave
Ridgewood, NJ 07450-3199
Phone
(201) 445-6670
Fax
(201) 652-5543
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 982 NJ Primary

Addresses

Primary practice location

88 W Ridgewood Ave
Ridgewood, NJ 07450-3199

Mailing address

456 Beverly Rd
Ridgewood, NJ 07450-3308
Phone (201) 445-6670

Other names 1

  • Mr. John A. Kakolewski Professional name

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

LicenseStateTypeSpecialty
982NJMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366658866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 BEVERLY RD",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503308",
            "telephone_number": "201-445-6670",
            "fax_number": "201-652-5543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 W RIDGEWOOD AVE",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503199",
            "telephone_number": "201-445-6670",
            "fax_number": "201-652-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKOLEWSKI",
        "first_name": "JOHN",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "MS,ED.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "KAKOLEWSKI",
            "middle_name": "A.",
            "prefix": "MR.",
            "credential": "MS,ED.S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ridgewood, NJ

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.

Verify at the official NPI Registry.