Active NPI
Thomas Dwyer
- Mental Health Counselor
- New Providence, NJ
National Provider Identifier
1407272263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 37PC00489600
- Practice address
- 72 Floral Ave
New Providence, NJ 07974-1565 - Phone
- (908) 665-1000
- NPI assigned
- Mar 17, 2014
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37PC00489600 | NJ | Primary |
Addresses
Primary practice location
72 Floral Ave
New Providence, NJ 07974-1565
Mailing address
72 Floral Ave
New Providence, NJ 07974-1565
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 |
|---|---|---|---|
| 37PC00489600 | NJ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395014400000",
"number": "1407272263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 FLORAL AVE",
"city": "NEW PROVIDENCE",
"state": "NJ",
"postal_code": "079741565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 FLORAL AVE",
"city": "NEW PROVIDENCE",
"state": "NJ",
"postal_code": "079741565",
"telephone_number": "908-665-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DWYER",
"first_name": "THOMAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-17",
"last_updated": "2014-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37PC00489600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Providence, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.