Individual provider Active NPI

Robin Leslie Resnick, L.P.C.

  • Professional Counselor
  • Linwood, NJ
National Provider Identifier
1679624258
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00334100 Issued in NJ
Practice address
6 Shore Rd
Linwood, NJ 08221-2500
Phone
(609) 576-7912
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00334100 NJ Primary

Addresses

Primary practice location

6 Shore Rd
Linwood, NJ 08221-2500

Mailing address

2112 Merritt Dr
Northfield, NJ 08225-2110
Phone (609) 576-7912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240507002747 FL Practitioner - Mental Health Counselor 7012358138 Practice locations: Tamarac, FL
I20240514001644 NJ Practitioner - Mental Health Counselor 7012358138 Practice locations: Galloway, NJ

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

109 Dover CT
Galloway, NJ 08205-6634
Phone (609) 576-7912

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679624258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 MERRITT DR",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082252110",
            "telephone_number": "609-576-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SHORE RD",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082212500",
            "telephone_number": "609-576-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESNICK",
        "first_name": "ROBIN",
        "middle_name": "LESLIE",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00334100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linwood, NJ

Sources for this page

Verify at the official NPI Registry.