Individual provider Active NPI

Connie Citro

  • Marriage & Family Therapist
  • Phillipsburg, NJ
National Provider Identifier
1942329222
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
37FI00158600 Issued in NJ
Practice address
700 Sayre Ave
Phillipsburg, NJ 08865-3326
Phone
(908) 454-2074
Fax
(908) 454-9871
NPI assigned
Mar 28, 2007
Last updated
Sep 21, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 37FI00158600 NJ Primary

Addresses

Primary practice location

700 Sayre Ave
Phillipsburg, NJ 08865-3326

Mailing address

26 Safran Ave
Attn: S. Gill
Edison, NJ 08837-3510
Phone (732) 738-1323

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
37FI00158600NJMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1942329222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 SAFRAN AVE",
            "address_2": "ATTN: S. GILL",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373510",
            "telephone_number": "732-738-1323",
            "fax_number": "732-738-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SAYRE AVE",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088653326",
            "telephone_number": "908-454-2074",
            "fax_number": "908-454-9871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CITRO",
        "first_name": "CONNIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37FI00158600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.