Active NPI
Stephanie Derosa, LPC
- Professional Counselor
- Bayville, NJ
National Provider Identifier
1861932030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00573600
- Practice address
- 160 Atlantic City Blvd
Bayville, NJ 08721-1229 - Phone
- (732) 349-5550
- NPI assigned
- Mar 7, 2017
- Last updated
- Mar 7, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 37PC00573600 | NJ | Primary |
Addresses
Primary practice location
160 Atlantic City Blvd
Bayville, NJ 08721-1229
Mailing address
14 Aqueduct PL
Howell, NJ 07731-2400
Phone (732) 804-3247
Other names 1
- Mrs. Stephanie Derosa-Hillmann
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 |
|---|---|---|---|
| 37PC00573600 | NJ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488844800000",
"number": "1861932030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 AQUEDUCT PL",
"city": "HOWELL",
"state": "NJ",
"postal_code": "077312400",
"telephone_number": "732-804-3247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 ATLANTIC CITY BLVD",
"city": "BAYVILLE",
"state": "NJ",
"postal_code": "087211229",
"telephone_number": "732-349-5550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEROSA",
"first_name": "STEPHANIE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-07",
"last_updated": "2017-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00573600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "DEROSA-HILLMANN",
"prefix": "MRS.",
"credential": "LPC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bayville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.