Vreeland Associates, Llc | |
145 Vreeland Ave Nutley NJ 07110-1618 | |
(973) 235-1212 | |
(973) 235-1527 |
Full Name | Vreeland Associates, Llc |
---|---|
Speciality | Counselor |
Location | 145 Vreeland Ave, Nutley, New Jersey |
Authorized Official Name and Position | Thomas J Longo (OWNER/PARTNER) |
Authorized Official Contact | 9736348227 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Vreeland Associates, Llc 145 Vreeland Ave Nutley NJ 07110-1618 Ph: (973) 235-1212 | Vreeland Associates, Llc 145 Vreeland Ave Nutley NJ 07110-1618 Ph: (973) 235-1212 |
NPI Number | 1780743120 |
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Provider Enumeration Date | 12/08/2006 |
Last Update Date | 06/27/2023 |
Certification Date | 06/27/2023 |
Medicare PECOS PAC ID | 3577940840 |
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Medicare Enrollment ID | O20220509000208 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780743120 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 37PC00076200 (New Jersey) | Primary |
1041C0700X | Social Worker - Clinical | 44SC04318600 (New Jersey) | Secondary |
Provider Name | Kristin Suydam |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1558529735 PECOS PAC ID: 1759703630 Enrollment ID: I20220509000313 |
Provider Name | Jennifer Longo |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1013378934 PECOS PAC ID: 4385021658 Enrollment ID: I20220509000415 |
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