Active NPI
Ralph Bianca, PH.D., L.C.S.W., L.C.a.D.C, LLC
- Clinic/Center
- Summit, NJ
National Provider Identifier
1437657657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 44SC05738400
- Legal business name
- RALPH BIANCA, PH.D., L.C.S.W., L.C.A.D.C, LLC
- Practice address
- 800 Old Springfield Ave Apt 7
Summit, NJ 07901-1129 - Phone
- (908) 312-2019
- NPI assigned
- Jan 23, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ralph Bianca, PHD, LCSW, LCADC
- Title
- Owner
- Phone
- (908) 312-2019
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 44SC05738400 | NJ | Primary |
Addresses
Primary practice location
800 Old Springfield Ave Apt 7
Summit, NJ 07901-1129
Mailing address
800 Old Springfield Ave Apt 7
Summit, NJ 07901-1129
Phone (908) 312-2019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Westfield, NJ
- NPI 1134630007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650240000000",
"number": "1437657657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 OLD SPRINGFIELD AVE APT 7",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079011129",
"telephone_number": "908-312-2019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 OLD SPRINGFIELD AVE APT 7",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079011129",
"telephone_number": "908-312-2019"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RALPH BIANCA, PH.D., L.C.S.W., L.C.A.D.C, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-23",
"last_updated": "2022-04-18",
"certification_date": "2022-04-18",
"status": "A",
"authorized_official_last_name": "BIANCA",
"authorized_official_first_name": "RALPH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "908-312-2019",
"authorized_official_credential": "PHD, LCSW, LCADC"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NJ",
"license": "44SC05738400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Summit, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.