Tinamarie Veniscofski LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

TINAMARIE VENISCOFSKI LLC

Practice address

1163 Route 37 W # Wsuitec2
Toms River, NJ 08755-4973

Phone

(201) 304-3117

NPI assigned

Jan 28, 2021

Organization subpart

No

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

Authorized official

Name

Tinamarie Veniscofski, LCACD

Title

Owner of Practice

Phone

(201) 304-3117

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1396336749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 ROUTE 37 W # WSUITEC2",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087554973",
            "telephone_number": "201-304-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 ROUTE 37 W # WSUITEC2",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087554973",
            "telephone_number": "201-304-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINAMARIE VENISCOFSKI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A",
        "authorized_official_last_name": "VENISCOFSKI",
        "authorized_official_first_name": "TINAMARIE",
        "authorized_official_title_or_position": "OWNER OF PRACTICE",
        "authorized_official_telephone_number": "201-304-3117",
        "authorized_official_credential": "LCACD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Addiction (Substance Use Disorder) Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.