Active NPI
Marisa Christine Bonamassa-Cimino, LAC
- Counselor
- Brick, NJ
National Provider Identifier
1972247435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 37AC00637000
- Practice address
- 445 Brick Blvd Ste 304
Brick, NJ 08723-6080 - Phone
- (732) 814-9414
- NPI assigned
- Apr 21, 2022
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 37AC00637000 | NJ | Primary |
Addresses
Primary practice location
445 Brick Blvd Ste 304
Brick, NJ 08723-6080
Mailing address
1401 B St Apt 2
Belmar, NJ 07719-2543
Phone (732) 320-2570
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 |
|---|---|---|---|
| 37AC00637000 | NJ | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651190400000",
"number": "1972247435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 B ST APT 2",
"city": "BELMAR",
"state": "NJ",
"postal_code": "077192543",
"telephone_number": "732-320-2570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 BRICK BLVD STE 304",
"city": "BRICK",
"state": "NJ",
"postal_code": "087236080",
"telephone_number": "732-814-9414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONAMASSA-CIMINO",
"first_name": "MARISA",
"middle_name": "CHRISTINE",
"name_prefix": "Miss",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-21",
"last_updated": "2022-04-29",
"certification_date": "2022-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NJ",
"license": "37AC00637000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.