Steven Santangelo

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

37LC00323400 Issued in NJ

Practice address

1060 Main St Ste 200
River Edge, NJ 07661-2591

Phone

(201) 341-9683

NPI assigned

Dec 11, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Panacea Group LLC

  • Mental Health Counselor
  • River Edge, NJ
  • NPI 1467136267
  NPD Authorized official
• Tree of Life Counseling Center, LLC

  • Mental Health Counselor
  • Freehold, NJ
  • NPI 1841711306
  NPD (past)

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

{
    "created_epoch": "1639180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1548929136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 MAIN ST STE 200",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076612591",
            "telephone_number": "201-341-9683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 MAIN ST STE 200",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076612591",
            "telephone_number": "201-341-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTANGELO",
        "first_name": "STEVEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06571100",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00323400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.panaceacounseling.org",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "1060 Main St Ste 200",
            "city": "River Edge",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "076612591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rock Star Music LLC
• Eric R Rosendorf, MD
• James A Ruggiero, D.MD
• Dolly R Sacristan, PHD, LCSW
• Tian Saltzman
• Tosal Saxena, FNP-BC
• Allen A Schachter, DDS
• Theresa A Schulze, NURSE PRACTITIONER
• Sharyn Zisa Mays LCSW
• Dongwuk Shin, M.D.

• Addiction (Substance Use Disorder) Counselor in River Edge, NJ
• Providers in River Edge, 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 11, 2023; 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.