Active NPI
Paul John Pigoncelli, MA. LPC.
- Professional Counselor
- Bordentown, NJ
National Provider Identifier
1366755605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00409700
- Practice address
- 348 Farnsworth Ave
Bordentown, NJ 08505-1787 - Phone
- (609) 638-3022
- NPI assigned
- Jul 15, 2010
- Last updated
- Jul 15, 2010
- 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 | 37PC00409700 | NJ | Primary |
Addresses
Primary practice location
348 Farnsworth Ave
Bordentown, NJ 08505-1787
Mailing address
348 Farnsworth Ave
Bordentown, NJ 08505-1787
Phone (609) 638-3022
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00409700 | NJ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279152000000",
"number": "1366755605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "348 FARNSWORTH AVE",
"city": "BORDENTOWN",
"state": "NJ",
"postal_code": "085051787",
"telephone_number": "609-638-3022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "348 FARNSWORTH AVE",
"city": "BORDENTOWN",
"state": "NJ",
"postal_code": "085051787",
"telephone_number": "609-638-3022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIGONCELLI",
"first_name": "PAUL",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "MA. LPC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-15",
"last_updated": "2010-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00409700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bordentown, NJ
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- Pennreach
- Performance Spine and Sports Medicine of Bordentown, LLC
- Performance Spine and Sports Medicine of Bordentown, LLC
- Katherine Anne Petty, PT, DPT
- Veronica Furigay Pomasin, APN
- Jordyn Pontoriero, APN, FNP-C
- Melanie Ann Powell, DO
- Premier Medical Associates
- Premier Medicine and Wellness LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.