Dr Lugenia Small NJ LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

DR LUGENIA SMALL NJ LLC

Practice address

4 Eakin St
Salem, NJ 08079-1704

Phone

(609) 665-1102

NPI assigned

Feb 11, 2021

Last updated

Feb 11, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lugenia SmallNPI 1487146403

Title

Owner

Phone

(609) 665-1102

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lugenia Small

  • Professional Counselor
  • Salem, NJ
  • NPI 1487146403
  NPD Authorized official

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1679165575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2394 PENDLETON CT",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440112647",
            "telephone_number": "609-665-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 EAKIN ST",
            "city": "SALEM",
            "state": "NJ",
            "postal_code": "080791704",
            "telephone_number": "609-665-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LUGENIA SMALL NJ LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "SMALL",
        "authorized_official_first_name": "LUGENIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-665-1102"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pedro Quizon Dayrit, M.D.
• Joseph Anthony Ocampo De Jesus, MD
• Joan Dejesus, LPN
• Stuart Maru Diamond, MD
• Roberto R Diaz, MD
• Laura L Drake, COTA
• Edward W Cipolla DO PA
• Ekg Interpreters of Salem County PA
• Amr A El Ellae
• David Welford Ellis, PH.D.

• Professional Counselor in Salem, NJ
• Providers in Salem, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.