NICHOLAS DESIMONE (NPI# 1346788676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346788676 |
| Entity Type | Individual |
| Full Name | NICHOLAS DESIMONE |
| Practice Address |
1395 Chews Landing Rd Laurel Springs NJ 08021 |
| Practice Telephone | 8562587575 |
| Mailing Telephone | 8562587575 |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2018-10-03 |
| NPI Deactivation Date | 08/21/2018 |
| NPI Reactivation Date | 2018-10-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
37LC00251500 | NJ | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
37LC00251500 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
1395 CHEWS LANDING RD |
| City | LAUREL SPRINGS |
| State | NJ |
| Zip Code | 08021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619130499 | Andrea Elisa Papa-molter | Psychiatry & Neurology | 1395 Chews Landing Rd, Laurel Springs, NJ 08021-2760 | 2008-07-02 |
| 1316185259 | Kelly Elisabeth Walker | Registered Nurse | 1395 Chews Landing Rd, Laurel Springs, NJ 08021-2760 | 2009-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124663059 | Harmony Bay Wellness, LLC | Clinic/Center | 1387 Chews Landing Road, Laurel Springs, NJ 08021 | 2019-11-14 |
| 1134782576 | Mobile Dental Care of Delaware Pa | Dentist | 239 Cypress Ave, Lindenwold, NJ 08021 | 2019-04-22 |
| 1316441645 | Ability Advocates of New Jersey | Case Management | 1451 Chews Landing Rd, Suite 208, Clementon, NJ 08021 | 2018-03-21 |
| 1871007286 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 43 Park Boulevard, Clementon, NJ 08021 | 2017-11-21 |
| 1639697444 | Oaks Integrated Care | Clinic/Center | 1611 Hinder La, Clemmenton, NJ 08021 | 2017-08-31 |
| 1548785462 | Poonam Yadav | Dentist | 3, Kelly Drivers Ln, Laurel Springs, NJ 08021 | 2017-08-11 |
| 1669996468 | Arc of Camden County - Heather Sa | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1990 Laurel Road, Apt Ac-248, Lindenwold, NJ 08021 | 2017-08-02 |
| 1881118610 | Arc of Camden County- Millbridge Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 285 Millhurst Ct, Apt 258, Clementon, NJ 08021 | 2017-08-02 |
| 1710409982 | Leavy Healthcare Services, Inc. | Non-emergency Medical Transport (VAN) | 906 Mason Run, Pine Hill, NJ 08021 | 2017-07-10 |
| 1982134599 | Achieving A Better Life | Case Management | 1600 Laurel Road, E66, Lindenwold, NJ 08021 | 2017-06-15 |
| Find all providers in zip 08021 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982232674 | Heather Wilson | Counselor | 1387 Chews Landing Rd, Laurel Springs, NJ 08021-2760 | 2020-03-30 |
| 1336615939 | Kelly Lemasney | Counselor | 1405 Chews Landing Rd Ste 50, Laurel Springs, NJ 08021-2769 | 2018-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212617 | Jeanette Roma | Counselor | 340 U S 9, Bayville, NJ 08721-0872 | 2020-10-15 |
| 1467069963 | Caitlyn Higgins | Counselor | 6 Hemlock Ln, Marlboro, NJ 07746-1213 | 2020-09-28 |
| 1225643760 | Lorianne Toth | Counselor | 11 Beckett St, Clayton, NJ 08312-2408 | 2020-09-11 |
| 1043823263 | Ramona Leclaire | Counselor | 111 Rte 35, Cliffwood, NJ 07721-1512 | 2020-08-27 |
| 1114539996 | Edward Michael Cunningham | Counselor | 6 Bently Dr, Sewell, NJ 08080-1827 | 2020-08-21 |
| 1043821697 | Margarette Charles | Counselor | 180 Tices Ln Ste 202, East Brunswick, NJ 08816-1345 | 2020-08-16 |
| 1306457866 | Brooke Aymes | Counselor | 1 E Lakeview Ave, Oaklyn, NJ 08107-1346 | 2020-08-10 |
| 1447869441 | Olivia Benoit | Counselor | 623 English Ct, South Plainfield, NJ 07080-2339 | 2020-07-24 |
| 1487272431 | Alexandra Knight | Counselor | 306 Washington St Ste 303&304, Hoboken, NJ 07030-5162 | 2020-07-07 |
| 1285252296 | Gage Blanck-singer | Counselor | 115 Old Short Hills Rd Apt 563, West Orange, NJ 07052-1048 | 2020-07-07 |
| Find all providers with the same taxonomy | ||||
| City | LAUREL SPRINGS |
| Zip Code | 08021 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.