MPDC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00193600 Issued in NJ

Legal business name

MPDC

Practice address

5 Roosevelt PL Ste B2
Montclair, NJ 07042-3366

Phone

(973) 744-5571

NPI assigned

Feb 2, 2017

Last updated

Feb 2, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Lewis C Pagano, LPCNPI 1437216447

Title

Counselor

Phone

(973) 744-5571

Specialties & licenses 1

Addresses

Locations

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.

• Lewis C. Pagano, LPC

  • Professional Counselor
  • Montclair, NJ
  • NPI 1437216447
  NPD (past) Authorized official

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1942748694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ROOSEVELT PL STE B2",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423366",
            "telephone_number": "973-744-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ROOSEVELT PL STE B2",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423366",
            "telephone_number": "973-744-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPDC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "PAGANO",
        "authorized_official_first_name": "LEWIS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "973-744-5571",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00193600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin Rafael Mosquea Gomez, MD
• Thealisa Moss, LCSW
• Christine Motta, LCSW
• Mountainside Hospital
• Yousef Moussa, DDS
• Michelle A. Mroz, MSW, LCSW
• Lana Mukhtar, MD
• Kaitlin Mulcahy, LMHC, LPC
• Maryann Mule, LPC
• Amanda Mullen, M.S.

• Professional Counselor in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.

Verify at the official NPI Registry.