Individual provider Active NPI

Robert Laguarina Jr.

  • Addiction Medicine (Family Medicine) Physician
  • Woodbury Heights, NJ
National Provider Identifier
1710519970
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
25MB09077400 Issued in NJ
Practice address
371 Glassboro Rd Ste 2
Woodbury Heights, NJ 08097-1026
Phone
(856) 669-6900
NPI assigned
Feb 6, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X
Nutritionist 133N00000X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NO10537200 NJ
Addiction Medicine (Family Medicine) Physician 207QA0401X 25MB09077400 NJ Primary

Addresses

Primary practice location

371 Glassboro Rd Ste 2
Woodbury Heights, NJ 08097-1026

Mailing address

371 Glassboro Rd Ste 2
Woodbury Heights, NJ 08097-1026
Phone (856) 669-6900

Other practice location 1

339 N Route 73 Ste 6
Berlin, NJ 08009-9707
Phone (856) 669-6900

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
25MB09077400NJMDAddiction Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MFH Management LLC Addiction (Substance Use Disorder) CurrentSince Feb 23, 2020 Accepting new patients
My Friends House Medical Services, Inc. Addiction (Substance Use Disorder) Current Accepting new patients

Locations

339 N Route 73
Ste 6
Berlin, NJ 08009
Phone (856) 637-2201

371 Glassboro Rd
Ste 2
Woodbury Heights, NJ 08097
Phone (856) 669-6900

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1710519970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 GLASSBORO RD STE 2",
            "city": "WOODBURY HEIGHTS",
            "state": "NJ",
            "postal_code": "080971026",
            "telephone_number": "856-669-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 GLASSBORO RD STE 2",
            "city": "WOODBURY HEIGHTS",
            "state": "NJ",
            "postal_code": "080971026",
            "telephone_number": "856-669-6900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "339 N Route 73 Ste 6",
            "address_purpose": "LOCATION",
            "city": "Berlin",
            "state": "NJ",
            "postal_code": "080099707",
            "country_code": "US",
            "telephone_number": "856-669-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAGUARINA",
        "first_name": "ROBERT",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NO10537200",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NJ",
            "license": "25MB09077400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury Heights, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.