Michael Joseph Paolello, M.A. LCADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

37LC00114200 Issued in NJ

Practice address

29 Oak St
Nutley, NJ 07110-1351

Phone

(973) 445-9757

NPI assigned

May 27, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274918400000",
    "number": "1659690832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 OAK ST",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101351",
            "telephone_number": "973-445-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 OAK ST",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101351",
            "telephone_number": "973-445-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAOLELLO",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "credential": "M.A.  LCADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00114200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oral and Maxillofacial Assoc of Nutley
• Alexandra Oskam, LCSW
• Carlos A Ospina
• Angel Luis Pagan, FNP
• Jose A Pagan, D.M.D.
• Michela Papaccio
• Ashley Pardo
• Vanessa Marie Parisi, DO
• Anna Parke, AGPCNP
• Anthony Parks, M.D.

• Addiction (Substance Use Disorder) Counselor in Nutley, NJ
• Providers in Nutley, 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 May 27, 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.

Verify at the official NPI Registry.