| Private Practice Associates | |
|
933 State Rt 23 Ste 4 Pompton Plains NJ 07444-1047 | |
| (973) 345-8410 | |
| Not Available |
| Full Name | Private Practice Associates |
|---|---|
| Speciality | Counselor |
| Location | 933 State Rt 23, Pompton Plains, New Jersey |
| Authorized Official Name and Position | Edward G. Lambro (PRESIDENT) |
| Authorized Official Contact | 9733458410 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Private Practice Associates 26 Quartz Ln Paterson NJ 07501-3343 Ph: (973) 345-8410 | Private Practice Associates 933 State Rt 23 Ste 4 Pompton Plains NJ 07444-1047 Ph: (973) 345-8410 |
| NPI Number | 1033238712 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 04/15/2024 |
| Certification Date | 04/05/2024 |
| Medicare PECOS PAC ID | 4385082163 |
|---|---|
| Medicare Enrollment ID | O20240401000072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033238712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 37PC00056700 (New Jersey) | Primary |
| Provider Name | Edward G. Lambro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346369097 PECOS PAC ID: 6406919844 Enrollment ID: I20240415004050 |
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