Active NPI
Alizah Demczak
- Professional Counselor
- Tenafly, NJ
National Provider Identifier
1700355484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00635300
- Practice address
- 337 Engle St
Tenafly, NJ 07670-1803 - Phone
- (516) 298-3625
- NPI assigned
- Nov 25, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00635300 | NJ | Primary |
Addresses
Primary practice location
337 Engle St
Tenafly, NJ 07670-1803
Mailing address
337 Engle St
Tenafly, NJ 07670-1803
Phone (516) 298-3625
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
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00635300 | NJ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630281600000",
"number": "1700355484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "337 ENGLE ST",
"city": "TENAFLY",
"state": "NJ",
"postal_code": "076701803",
"telephone_number": "516-298-3625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "337 ENGLE ST",
"city": "TENAFLY",
"state": "NJ",
"postal_code": "076701803",
"telephone_number": "516-298-3625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMCZAK",
"first_name": "ALIZAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-25",
"last_updated": "2021-08-30",
"certification_date": "2021-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00635300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tenafly, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.