Individual provider Active NPI

Timothy Ferguson

  • Addiction (Substance Use Disorder) Counselor
  • Trenton, NJ
National Provider Identifier
1750704060
Registry record updated Jan 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
132 Perry St
Trenton, NJ 08618-3968
Phone
(609) 394-8988
NPI assigned
Jan 23, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2014

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 Primary

Addresses

Primary practice location

132 Perry St
Trenton, NJ 08618-3968

Mailing address

132 Perry St
Trenton, NJ 08618-3968
Phone (609) 394-8988

Other identifiers 8

IdentifierTypeStateIssuer
0102903OtherNJNJ MEDICAID PROVIDER
215114000OtherNJMAGELLAN MIS
7603606OtherNJWFNJ-SAI GROUP
2000078OtherNJDHS LICENSE AMBULATORY
2000345-MV1-10OtherNJDHS DMHAS MOBILE UNIT
183739OtherNJYBA4
NJ-10046-MOtherNJSUBSTANCE ABUSE AND MENTAL HEALTH
2000345OtherNJDHS LICENSE AMBULATORY CARE

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

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390435200000",
    "number": "1750704060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 PERRY ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086183968",
            "telephone_number": "609-394-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 PERRY ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086183968",
            "telephone_number": "609-394-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "TIMOTHY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ MEDICAID PROVIDER",
            "identifier": "0102903",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN MIS",
            "identifier": "215114000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WFNJ-SAI GROUP",
            "identifier": "7603606",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS LICENSE AMBULATORY",
            "identifier": "2000078",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS DMHAS MOBILE UNIT",
            "identifier": "2000345-MV1-10",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "YBA4",
            "identifier": "183739",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBSTANCE ABUSE AND MENTAL HEALTH",
            "identifier": "NJ-10046-M",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS LICENSE AMBULATORY CARE",
            "identifier": "2000345",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; 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.