Active NPI
Brian A Nandy, LPC
- Mental Health Counselor
- Florham Park, NJ
National Provider Identifier
1598089633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 37PC00350300
- Practice address
- 147 Columbia Tpke
Suite 307
Florham Park, NJ 07932-2113 - Phone
- (908) 419-5712
- NPI assigned
- Mar 18, 2010
- 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 | 37PC00350300 | NJ | Primary |
Addresses
Primary practice location
147 Columbia Tpke
Suite 307
Florham Park, NJ 07932-2113
Mailing address
95 W 13TH St
Bayonne, NJ 07002-1343
Phone (908) 419-5712
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 |
|---|---|---|---|
| 37PC00350300 | NJ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268870400000",
"number": "1598089633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 W 13TH ST",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070021343",
"telephone_number": "908-419-5712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 COLUMBIA TPKE",
"address_2": "SUITE 307",
"city": "FLORHAM PARK",
"state": "NJ",
"postal_code": "079322113",
"telephone_number": "908-419-5712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NANDY",
"first_name": "BRIAN",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-18",
"last_updated": "2010-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37PC00350300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florham Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.