Individual provider Active NPI

Devinder Kaur Mathaun de Infante

  • Addiction (Substance Use Disorder) Counselor
  • Florham Park, NJ
National Provider Identifier
1669121125
Registry record updated Mar 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
37LC00182800 Issued in NJ
Practice address
135 Columbia Tpke Ste 201
Florham Park, NJ 07932-2189
Phone
(848) 233-4369
NPI assigned
Mar 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00182800 NJ Primary

Addresses

Primary practice location

135 Columbia Tpke Ste 201
Florham Park, NJ 07932-2189

Mailing address

135 Columbia Tpke Ste 201
Florham Park, NJ 07932-2189
Phone (848) 233-4369

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

LicenseStateTypeSpecialty
37LC00182800NJMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1669121125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 COLUMBIA TPKE STE 201",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079322189",
            "telephone_number": "848-233-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 COLUMBIA TPKE STE 201",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079322189",
            "telephone_number": "848-233-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHAUN DE INFANTE",
        "first_name": "DEVINDER",
        "middle_name": "KAUR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-03-22",
        "certification_date": "2022-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00182800",
            "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 22, 2022; 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.