Individual provider Active NPI

Nivioska Bruce, LPC

  • Professional Counselor
  • Rochelle Park, NJ
National Provider Identifier
1376838490
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00414500 Issued in NJ
Practice address
365 W Passaic Street
Rochelle Park, NJ 07662
Phone
(201) 265-8200
NPI assigned
Jun 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00414500 NJ Primary

Addresses

Primary practice location

365 W Passaic Street
Rochelle Park, NJ 07662

Mailing address

365 W Passaic St
Rochelle Park, NJ 07662-3017
Phone (201) 265-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37PC00414500NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Care Plus NJ, Inc. Current Accepting new patients

Locations

610 Valley Health Plz
Paramus, NJ 07652
Phone (201) 797-2660

365 W Passaic St
Rochelle Park, NJ 07662
Phone (201) 355-4910

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": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1376838490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 W PASSAIC ST",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076623017",
            "telephone_number": "201-265-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 W PASSAIC STREET",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "07662",
            "telephone_number": "201-265-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCE",
        "first_name": "NIVIOSKA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-16",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00414500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochelle Park, NJ

Sources for this page

Verify at the official NPI Registry.