JACK ANTHONY YANNUCCI NPI 1396694006

NPI Information

  • NPI: 1396694006
  • Provider Name: JACK ANTHONY YANNUCCI
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 26 ASH ST
    BRIDGEWATER, NJ
    ZIP 08807
  • Phone: (631) 487-2090

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NPI Details

Jack Anthony Yannucci is an addiction (substance use disorder) counselor in Bridgewater, NJ. Jack Anthony Yannucci NPI is 1396694006. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

26 ASH ST
BRIDGEWATER, NJ
ZIP 08807-708
Phone: (631) 487-2090

The enumeration date for this NPI number is 1/26/2026 and was last updated on 1/26/2026.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)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: 11/21/2025

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