Organization Active NPI

Deedles, LLC

  • Addiction (Substance Use Disorder) Counselor
  • River Edge, NJ
National Provider Identifier
1861177859
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
DEEDLES, LLC
Practice address
215 Kinderkamack Rd
River Edge, NJ 07661-2089
Phone
(201) 993-7807
NPI assigned
Jun 19, 2023
Last updated
Jul 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Authorized official

Name
Ms. Deirdre A Montez, CADCNPI 1073298089
Title
Owner
Phone
(201) 993-7807

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

215 Kinderkamack Rd
River Edge, NJ 07661-2089

Mailing address

215 Kinderkamack Rd Apt N4
River Edge, NJ 07661-2090
Phone (201) 993-7807

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1861177859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 KINDERKAMACK RD APT N4",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076612090",
            "telephone_number": "201-993-7807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 KINDERKAMACK RD",
            "city": "RIVER EDGE",
            "state": "NJ",
            "postal_code": "076612089",
            "telephone_number": "201-993-7807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEDLES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "MONTEZ",
        "authorized_official_first_name": "DEIRDRE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-993-7807",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in River Edge, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.