MR. RAFAEL A PENA LCADC NPI 1548855323

NPI Information

NPI: 1548855323
Provider Name: MR. RAFAEL A PENA, LCADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
136 TIFFANY BLVD APT 228
NEWARK, NJ
ZIP 07104
Phone: (201) 658-5044
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MR. Rafael A Pena, LCADC is an addiction (substance use disorder) counselor in Newark, NJ. MR. Rafael A Pena, LCADC NPI is 1548855323. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

136 TIFFANY BLVD APT 228
NEWARK, NJ
ZIP 07104-470
Phone: (201) 658-5044

The enumeration date for this NPI number is 3/4/2021 and was last updated on 3/4/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	37LC00327800	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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