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Department of Veterans Affairs

Organization Active NPI Professional Counselor · Lyons, NJ

NPI 1407960313 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1407960313
Entity type
Organization (NPI type 2)
Primary specialty
Professional Counselor 101YP2500X
License
44SCOO756000 (NJ)
Legal business name
DEPARTMENT OF VETERANS AFFAIRS
Practice address
151 Knollcroft Rd
Lyons, NJ 07933
Phone
(908) 647-0180
NPI assigned
Aug 18, 2006
Organization subpart
No

Authorized official

Name
Mr. Michael Victor Montemurro, MSW NPI 1154591840
Title
Social Worker
Phone
(908) 647-0180

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Department of Veterans Affairs (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193200000X MULTI-SPECIALTY GROUP		 101YP2500X 44SCOO756000 NJ Yes

Addresses

Primary practice location

151 Knollcroft Rd
Lyons, NJ 07933

Mailing address

94 Washington St
Berkeley Heights, NJ 07922-1040
Phone (908) 665-1833

Other providers in Lyons, NJ

All providers in Lyons, NJ · Professional Counselor in New Jersey

Sources for this page

Verify at the official NPI Registry.