Andrea D'Ovidio, LAC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

37AC00358800 Issued in NJ

Practice address

180A Tices LN Ste 202
East Brunswick, NJ 08816-1395

Phone

(732) 705-7125

NPI assigned

Apr 23, 2019

Last updated

Jan 28, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1598329740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180A TICES LN STE 202",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161395",
            "telephone_number": "732-705-7125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180A TICES LN STE 202",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161395",
            "telephone_number": "732-705-7125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'OVIDIO",
        "first_name": "ANDREA",
        "name_prefix": "Mr.",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-23",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37AC00358800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "City",
            "affiliation": "N",
            "address_1": "180A Tices Ln Ste 202",
            "city": "East Brunswick",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088161395",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cybermed Corporation
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• Francis C D'Mello, M.D.
• Maria Wilma D'Mello, M.D.
• D&G Smile II
• Sasha Dacosta-Chambers, NP
• Jessica J Dacosta, PSYD
• Oluwatoyin Olakitan Dada, MD
• Avivah Dahbany, PHD

• Counselor in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.